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DEATH
CERTIFICATE
LENA MAY BATES
Date 20 March 1945
Cert: 05332
Place of Death: County: Fayette City or
Town: Lexington
Name of Hospital or Institution: Eastern State Hospital
Length of stay in hospital or community: 02 yrs, 11 mos,
10 days
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Red Fox
Full Name: Lena MAY BATES
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male (transcribed as
written), White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 1928
Age: 16 years
Birthplace: Unknown
Occupation: none
Industry or business: (blank)
Father Name: Loyd BATES
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Elizabeth COLLINS
Mother Birthplace: Knott Co., Ky.
Informant: Hospital Records, Lexington, Ky.
Burial Place: Red Fox, Ky.
Date: 23 March 1945
Signature of funeral director: Father, Loyd Bates, Red Fox,
Ky.
Date received by local registrar: 24 March 1945
Registrar's Signature: D. A. Furlong
Date of Death: 20 March 1945
I hereby certify that I attended deceased from 01 October 1945
(transcribed as written) to
20 March 1945, that I
last saw her alive on 20 March 1945, and that death occurred on the date
stated above at 10:55 a.m.
Immediate cause of death: Epilepsy (Idiopathic)
Due to: (blank)
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: W. Royston Young, M.D., Eastern State
Hospital, Lexington, Kentucky
Date signed: 20 March 1945
Transcribed by Debbie Tamborski, 08 February 2010 |
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