|
DEATH
CERTIFICATE
DICY ARMSTRONG
Date 12 September 1917
Cert: 26094
Place of Death: Voting Precinct: Adele #13, Morgan Co.,
Ky.
Full Name: Dicy ARMSTRONG
Sex, Color or Race, Marital Status: Female, White,
Married
Date of Birth: 12 December 1835
Age: 82 years, 09 months
Occupation: Housework
Birthplace: Knott Co.
Name of Father: Gabel RICHIE
Birthplace Father: Ky.
Maiden name of Mother: Nancy CAMPBELL
Birthplace Mother: Knott Co.
Informant/Address: A. J. PHIPPS, Insko, Ky.
Filed: 15 September 1917
Registrar: A. J. Landon
Death Date: 12 September 1917
I hereby certify that I attended deceased from (blank), to
(blank), that I last saw h-- alive on (blank), and that death
occurred, on the date stated above, at (blank)
Cause of Death: Arterio sclerosis
Duration: (blank)
Contributory: (blank)
Signed/Address: J. D. Whitaker, M.D., 13 September 1917,
Cannel City, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Phipps Cemetery
Date of Burial: 15 September 1917
Undertaker/Address: L. V. Adkins, Insko, Ky.
Transcribed by Debbie Tamborski, 28 February 2010 |
|