Date: 28 November 1945
Cert: 04586
Place of Death: County: Knott City or
Town: Decoy, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Decoy Rural
Full Name: Cordelia SHEPHERD BRADLEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Sam BRADLEY
Age of husband or wife if alive: 08 September 1878, 67 years
Birth date of deceased: 22 December 1882
Age: 62 years, 11 months, 06 days
Birthplace: Breathitt County, Lambric, Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: George SHEPARD
Father Birthplace: Breathitt County, Ky.
Mother Maiden Name: Betty HOWARD
Mother Birthplace: Knott County, Ky.
Informant: Tennie SMITH, Decoy, Ky.
Burial Place: Bradley Cemetery, Decoy, Ky.
Date: 30 November 1945
Signature of funeral director: Friends, Decoy, Ky.
Date received by local registrar: 14 February 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 28 November 1945
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 (blank)
Immediate cause of death: Heart failure
Duration: (blank)
Due to: Diabetes
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: J. W. Duke, M.D., Hindman, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 26 November 2010 |