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DEATH
CERTIFICATE
MARY ALICE BATES
Date: 11 December 1946
Cert: 00762
Place of Death: County: Floyd City or Town:
McDowell
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Bevinsville
Full Name: Mary Alice BATES
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White Married
Husband or Wife of: Willie BATES
Age of husband or wife if alive: (blank)
Birth date of deceased: 30 April
Age: 54 years
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Sam SLONE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Slinda THORNESBURY
Mother Birthplace: Knott Co., Ky.
Informant: Landell THORNESBURY, Halo, Ky.
Burial Place: Buckingham, Ky.
Date: 13 December 1946
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 14 January 1947
Registrar's Signature: Lucy Ramsdell
Date of Death: 11 December 1946
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 10:50 a.m.
Immediate cause of death: Cerebral Hemorrhage (rt.)
Duration: (blank)
Due to: Hypertension
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: Russell L. Helf, M.D.,
Wheelwright
Date signed: 10 January 1947
Transcribed by Debbie Tamborski, 06 June 2010 |
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