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DEATH
CERTIFICATE
ARMINDA ANDERSON
Date 16 June 1924
Cert: 13575
Place of Death: Voting Precinct: Asylum, E. S. Hospt.,
Lexington, Fayette Co., Ky.
Full Name: Arminda ANDERSON
Sex, Color or Race, Marital Status: Female, White,
Married
Date of Birth: 1900
Age: 24 years
Occupation: Housewife
Birthplace: Knott Co., Ky.
Name of Father: (blank)
Birthplace Father: (blank)
Maiden name of Mother: (blank)
Birthplace Mother: (blank)
Informant/Address: Eastern State Hospital
Records, Lexington, Ky.
Filed: 26 June 1924
Registrar: D. A. Furlong
Death Date: 16 June 1924
I hereby certify that I attended deceased from 11 June 1924, to
16 June 1924, that I last saw her alive on 15 June 1924, and
that death occurred, on the date stated above, at 3 a.m.
Cause of Death: Pellagra
Duration: 02 years
Contributory: (blank)
Signed/Address: Edward Davenport, M.D., 16 June 1924,
Lexington, Ky.
Length of residence at place of death: 18 days
Former or usual residence: Flod Co., Ky. [sic]
Place of Burial or Removal: Jacks Creek,
Floyd Co., Ky.
Date of Burial: 18 June 1924
Undertaker/Address: Kerr Bros., Lexington, Ky.
Transcribed by Debbie Tamborski, 20 March 2010 |
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