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DEATH
CERTIFICATE
GARLAND BATES
Date 22 May 1922
Cert: 10885
Place of Death: Voting Precinct: Eastern State Hospital,
Lexington, Fayette Co., KY
Full Name: Garland BATES
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 13 April 1903
Age: 19 years
Occupation: Farmer
Birthplace: Kite Co.
Name of Father: No record
Birthplace Father: " "
Maiden name of Mother: " "
Birthplace Mother: " "
Informant/Address: Eastern State H., Lexington, Ky.
Filed: 25 May 1922
Registrar: (illegible)
Death Date: 22 May 1922
I hereby certify that I attended deceased from 17 September
1921, to 22 May 1922, that I last saw him alive on 22 May
1922, and that death occurred, on the date stated above, at
3:05 p.m.
Cause of Death: Pulmonary Tuberculosis
Duration: 02 years
Contributory: Dementia Praecox
Secondary: (Simple type) Duration: 02 years
Signed/Address: John J. Canoll, M.D., 24 May
1922, E. State Hosp.
Length of residence at place of death: 02 yrs.
In state: 19 yrs.
Where was disease contracted: Kite, Ky.
Former or usual residence: Kite, Ky.
Place of Burial or Removal: Wayland, Ky.
Date of Burial: 25 May 1922
Undertaker/Address: Kerr Bros., Lexington, Ky.
Transcribed by Debbie Tamborski, 07 March 2010 |
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