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DEATH
CERTIFICATE
HAZEL BREEDING
Date 22 June 1923
Cert: 24483
Place of Death: Voting Precinct: Hazard, Perry Co., Ky.
Full Name: Hazel BREEDING
Sex, Color or Race, Marital Status: Female, White, Single
Date of Birth: 22 July 1911
Age: 11 years, 11 months
Occupation: School girl
Birthplace: Knott Co., Ky.
Name of Father: Silas BREEDING
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Mary DICKERSON
Birthplace Mother: Knott Co., Ky.
Informant/Address: Mrs. Silas BREEDING, Hazard, Ky.
Filed: 01 October 1923
Registrar: J. P. Boggs
Death Date: 22 June 1923
I hereby certify that I attended deceased from 22 June 1923,
to 23 June 1923, that I last saw her alive on 22 June 1923,
and that death occurred, on the date stated above, at 5:00
p.m.
Cause of Death: General Peritonitis following appendicitis
Duration: 15 hours
Contributory: appendicitis
Duration: 4 hours
Signed/Address: J. H. Hoskins, M.D., 21 August
1923, Hazard, Ky.
Length of residence at place of death: 01 day
In state: 11 years, 11 months
If not at place of death: City of Hazard
Former or usual residence: Usual
Place of Burial or Removal: Hazard, Ky.
Date of Burial: 23 June 1923
Undertaker/Address: Wm. Nicholson, Hazard, Ky.
Transcribed by Debbie Tamborski, 19 March 2010 |
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