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Submitter: Charee H.

Death Volume:  1911
Certificate Number:  00153

Surname:  COLLOWAY
Given Name:  STILLBORN


Date of Death:  15 January 1911
Place of Death:  Bourbon Co.
Race or Color:  Negro
Sex:  Female
Marital Status:  Married (?)
Spouse's Name: 
Spouse's Age: 
Cause of Death:  Stillborn
Place of Burial:  unknown
Date of Burial: 
Residence: 
Occupation: 
Date of Birth:  15 January 1911
Age:  5 mo.
Birth Place:  Bourbon Co., KY
Father's Name:  John COLLOWAY
Father's Birth Place:  Fayette Co., KY
Mother's Name:  Mattie CARSON
Mother's Birth Place:  No. Middletown, KY

Informant:  unknown
Undertaker: 

 Comments and Corrections:   Transcribed from microfilm at KY State
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