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DEATH
CERTIFICATE
MARY PATTON BENTLEY
Date: 19 December 1946
Cert: 25775
Place of Death: County: Floyd City or Town:
Wayland
Street No. or Location: Home
Length of stay in hospital or community: 27 years
Usual Residence of Deceased: State: Kentucky County:
Floyd
City or Town: Wayland
Full Name: Mary Patton BENTLEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Corbett BENTLEY
Age of husband or wife if alive: 46 years
Birth date of deceased: unknown
Age: 40 years
Birthplace: Knott County, Kentucky
Occupation: Housewife
Industry or business: (blank)
Father Name: Jack PATTON
Father Birthplace: Knott County, Ky.
Mother Maiden Name: Lizzie REYNOLDS
Mother Birthplace: Knott County, Ky.
Informant: Corbet BENTLY, Stone, Ky.
Burial Place: McDowell, Ky.
Date: 22 December 1946
Signature of funeral director: F. W. Baker, Pikeville, Ky.
Date received by local registrar: 30 December 1946
Registrar's Signature: Lucy Ramsdell
Date of Death: 19 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 4:30 p.m.
Immediate cause of death: Tuberculosis of lungs
Duration: 02 years
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 & Address: M. V. Wicker, M.D., Wayland, Ky.
Date signed: 25 December 1946
Transcribed by Debbie Tamborski, 07 June 2010 |
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