DEATH CERTIFICATE

ROSANNA CASEBOLT

Rosanna Casebolt
Commonwealth of Kentucky
State Board of Health
Bureau of Vital Statistics
Certificate of Death
File No. 15187
Place of Death: Knott County
City or Town: Leburn
Usual Place of Residence: Knott, KY, Leburn
Full Name: ROSANNA CASEBOLT
Female, White, Divorced
Birth Date: May 12, 1866
Age: 74 yrs
Birthplace: Knott
Occupation: House Keeper
Father: BILL CASEBOLT
Birthplace of Father: Knott
Mother: ARMINDA COMBS
Birthplace of Mother: Knott
Date of Death: Jun 10, 1940
Cause of Death: Paralysis
Signed: J.W. Duke, Hindman
Date Signed: Jun 28, 1940
Informant: MRS. LLOYD MAGGARD
Burial: Mill Creek
Date of Burial: Jun 11, 1940
Filed: Jun 27, 1940, Macie Miller, Registrar
Submitted by Louise Gaskill