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Submitter: Lora Washington

Death Volume:  001
Certificate Number:  00158

Surname:  Evans
Given Name:  Charles
Date of Death:  19 Jan 1911
Place of Death:  North Middletown, Bourbon,KY
Race or Color:  Colored
Sex:  M
Marital Status:  Divorced
Spouse's Name: 
Spouse's Age: 
Cause of Death: 
Place of Burial:  North Middletown, KY
Date of Burial:  22 Jan 1911
Residence:  North Middletown, KY
Date of Birth:  1 May 1856
Age:  54
Birth Place:  Kentucky
Father's Name:  Richard Evans
Father's Birth Place:  Kentucky
Mother's Name:  Sarah Rice
Mother's Birth Place:  Kentucky

Informant:  unknown
Undertaker:  Corbin & Martyn