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DEATH
CERTIFICATE
SARAH BENTLEY
Date 12 August 1952
Cert: 18550
Place of Death: County: Floyd City or Town:
Martin
Length of stay in hospital or community: 01 day
Name of Hospital or Institution: Our Lady of the Way
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Topmost
Full Name: Sarah BENTLEY
Date of Death: 12 August 1952
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: January 1884
Age: 68 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Ky.
Father's Name: Sam BENTLEY
Mother's Maiden Name: Dove FOUTS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: R. B. BENTLEY
Disease or condition directly leading to death: Diabetes
mellitus
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 11 August 1952 to
12 August 1952, that I
last saw the deceased alive on 12 August 1952, and that death occurred on
the date stated above at 7:50 p.m., from the causes and on the date
stated above.
Date signed: 24 September 1952
Address: Martin, Kentucky
Signature: J. Allen (illegible) M.D.
Burial, Cremation or Removal: Burial
Date: 15 August 1952
Name of Cemetery or Creamatory: Chandler
Location: Lackey, Ky.
Date received by local registrar: 26 September 1952
Registrar's Signature: Lucy Ransdell
Funeral director and address: Birchell C. Hall, Martin,
Ky.
Transcribed by Debbie Tamborski, 20 February 2010 |
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