Kentucky Death Certificate #9972
Name: Adline Bollen
Gender: Female
Race: Black, Widow
Date of Birth: Unknown
Age: 68
Birth Place: Mississippi
Death Date: 23 Apr 1912
Death Place: Hickman, Kentucky, USA
Cause of Death: Tuberculosis, Asthma, General Debility
Parents' Information: Unknown
Informant: William Gore, Oakton, Ky.
Burial: Clinton, 4/25/1912
Name: Adline Bollen
Gender: Female
Race: Black, Widow
Date of Birth: Unknown
Age: 68
Birth Place: Mississippi
Death Date: 23 Apr 1912
Death Place: Hickman, Kentucky, USA
Cause of Death: Tuberculosis, Asthma, General Debility
Parents' Information: Unknown
Informant: William Gore, Oakton, Ky.
Burial: Clinton, 4/25/1912
Kentucky Death Certificate #9972
Name: Adline Bollen
Gender: Female
Race: Black, Widow
Date of Birth: Unknown
Age: 68
Birth Place: Mississippi
Death Date: 23 Apr 1912
Death Place: Hickman, Kentucky, USA
Cause of Death: Tuberculosis, Asthma, General Debility
Parents' Information: Unknown
Informant: William Gore, Oakton, Ky.
Burial: Clinton, 4/25/1912
Name: Adline Bollen
Gender: Female
Race: Black, Widow
Date of Birth: Unknown
Age: 68
Birth Place: Mississippi
Death Date: 23 Apr 1912
Death Place: Hickman, Kentucky, USA
Cause of Death: Tuberculosis, Asthma, General Debility
Parents' Information: Unknown
Informant: William Gore, Oakton, Ky.
Burial: Clinton, 4/25/1912
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