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DEATH
CERTIFICATE
NORA ASHLEY
Date 16 August 1940
Cert: 24240
Place of Death: County: Knott City or Town: (Anco,
Ky.) rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: rural
Full Name: Nora ASHLEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Bill ASHLEY
Age of husband or wife if alive: ? (transcribed as
written)
Birth date of deceased: 28 January 1901
Age: 39 years, 06 months, 19 days
Birthplace: Knott County, Ky.
Occupation: House wife
Industry or business: (blank)
Father Name: Solomon ADAMS
Father Birthplace: Knott County
Mother Maiden Name: Celia PARKS
Mother Birthplace: Va.
Informant/Address: Roscoe COMBS, Anco, Ky.
Burial Place: Anco, Ky.
Date: 17 August 1940
Signature of funeral director/Address: Engle Undertaking Co.,
Hazard, Ky.
Date received by local registrar: 23 October 1940
Registrar's Signature: Macie Miller
Date of Death: 16 August 1940
I hereby certify that I attended deceased from January 1940 to
August, that I last saw her alive on 15 August 1939 (transcribed
as written), and that death occurred on the date stated above
at 4 a.m.
Immediate cause of death: Tuberculous peritonitis
Duration: 06 months
Due to: Primary Foci lungs
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Guy C. Pinckley, M.D., Anco, Ky.
Date signed: 07 September 1940
Transcribed by Debbie Tamborski, 16 August 2010 |
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