DEATH CERTIFICATE

PERCY BONES

Date    28 June 1911
Death Vol:   1911
Cert: # 16246
Name: Percy BONES
Male, Negro
Age: 28 years
Place of Death: Voting Pct. No. 5, Hazard, Perry Co., KY
Birth Date: unknown
Place of Birth: Louisville, Ky.
Father: unknown                                                          Birthplace Father: unknown
Mother: unknown                                                         Birthplace Mother: unknown
Informant: Not Listed
Death Date: 28 June 1911
Cause of Death: Syphilis
Signed:  Taylor Hurst, M.D.
Burial Place: Near Hazard, Ky.
Undertaker: Not Listed
File Date: Not Listed
Transcribed by Debbie Tamborski, 19 June 2008