DEATH CERTIFICATE

DANE BAKER

Date    10 September 1911
Cert: # 24263
Name: Dane BAKER
Male, White, Single
Age: 1 years, 4 months, 19 days
Place of Death: Voting Pct. No. 8, Perry Co., KY
Birth Date: 11 April 1909
Place of Birth: Perry County, Ky.
Father: Slic BAKER                                                    Birthplace Father: Perry Co., Ky.
Mother: Mary BAKER                                                 Birthplace Mother: Perry Co., Ky.
Informant: Not Listed
Death Date: 10 September 1911
Cause of Death: Broncho pneumonia from whooping cough
Signed:  Dr. G. C. Morgan, M.D.
Burial Place: Not Listed
Undertaker: Not Listed
File Date: 07 October 1911
Transcribed by Debbie Tamborski, 19 June 2008