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DEATH
CERTIFICATE
ROSE ARMSTRONG
Date 23 October 1952
Cert: 27746
Place of Death: County: Perry City or Town:
Hazard
Length of stay in hospital or community:
Name of Hospital or Institution: Mt. Mary Hospital
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Wiscoal
Full Name: Rose ARMSTRONG
Date of Death: 23 October 1952
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 02 February 1912
Age: 39 years
Usual Occupation: Housewife
Kind of Industry or business: House
Birthplace: Gatliff, Ky.
Father's Name: W. R. HOLLAND
Mother's Maiden Name: Vera HAMMONS
Was deceased ever in armed forces: No
Social Security No.: none
Informant: Sol ARMSTRONG
Disease or condition directly leading to death: Cancer
of bladder
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I
last saw the deceased alive on (blank), and that death occurred on
the date stated above at (blank), from the causes and on the date
stated above.
Date signed: 29 October 1952
Address: Hazard, Ky.
Signature: W. O'Donnell, M.D.
Burial, Cremation or Removal: Burial
Date: 26 October 1952
Name of Cemetery or Creamatory: Cornett Hill Cemetery
Location: Sassafras, Ky.
Date received by local registrar: 29 October 1952
Registrar's Signature: Georgia P. Surer
Funeral director and address: Maggard and Garrett, Hazard, Ky.
Transcribed by Debbie Tamborski, 18 February 2010 |
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