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DEATH
CERTIFICATE
BESSIE PRIDEMORE BRASHEAR
Date: 08 January 1944
Cert: 13557
Place of Death: County: Perry Co., Ky. City or Town:
Viper, Ky.
Street No. or Location: Rural
Length of stay in hospital or community: All life at Viper
Usual Residence of Deceased: State: Ky. County:
Perry Co.
City or Town: Viper, Ky.
Full Name: Bessie PRIDEMORE BRASHEAR
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Henry BRASHEAR
Age of husband or wife if alive: 54 years
Birth date of deceased: 22 (illegible) 1899
Age: 44 years, 07 months, 16 days
Birthplace: Knott County, Ky.
Occupation: Housewife
Industry or business: none except wife
Father Name: George PRIDEMORE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Cinda ASHLEY
Mother Birthplace: Knott Co., Ky.
Informant: (blank), Viper, Ky.
Burial Place: (?Lost? illegible) Branch
Date: 09 January 1944
Signature of funeral director: none
Date received by local registrar: 11 June 1945
Registrar's Signature: Opsie J. Deaton
Date of Death: 08 January 1944
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: Did not have any physician at
or near time of death
Duration: (blank)
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: (blank)
Date signed: (blank)
Transcribed by Debbie Tamborski, 02 June 2010 |
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