|
DEATH
CERTIFICATE
ETTIE BLACKBURN
Date 19 June 1939
Cert: 15638
Name: Ettie BLACKBURN
Place of Death: Voting Pct. Lower Jones Fork #19, Lackey,
Stumbo Memorial Hospital, Knott Co., KY
Residence: Mousie, Ky.
Length of residence: (blank)
Female, White, Married
Husband or Wife of: Steve BLACKBURN
Birth Date: 26 January 1903
Age: 36 years, 04 months, 23 days
Occupation: H. W.
Place of Birth: Floyd Co., Ky.
Name of Father: Ben RITCHIE
Birthplace Father: Ky.
Maiden Name of Mother: Rosie KEEN
Birthplace Mother: Ky.
Informant: Steve BLACKBURN, Mousie, Ky.
Death Date: 19 June 1939
Cause of Death: puerperal fever septicemia
Contributory: Miscarriage
Signed: M. T. Dotson, M.D., Lackey, Ky.
Burial Place: Mousie, Ky.
Date of Burial: 20 June 1939
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 20 June 1939
Registrar: Rushionna Blair
Transcribed by Debbie Tamborski, 10 November 2009 |
|