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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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