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DEATH
CERTIFICATE
VIRTIE BREEDING
Date 19 December 1935
Cert: 29595
Place of Death: Voting Pct.: Beaver Valley Hospital,
Martin, Floyd Co., Ky.
Full Name: Virtie BREEDING
Residence: Mousie, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Bent BREEDING
Date of Birth: 01 January 1904
Age: 31 years
Occupation: Not given
Birthplace: Knott Co.
Father Name: Sam TERRY
Birthplace Father: Knott Co.
Mother Maiden Name: Susie AMBURGA
Birthplace Mother: Knott Co.
Informant/Address: Sam TERRY, Mousie, Ky.
Burial Cremation Removal Place: (blank)
Date: 21 December 1935
Undertaker/Address: E. P. Arnold, Prestonsburg, Ky.
Filed: 10 January 1936
Registrar: Estelle Taylor
Death of Date: 19 December 1935
I hereby certify, That I attended deceased from 17 December
1935 to
19 December 1935, that I last saw her alive on 19 December
1935, death is said
to have occurred on the date stated above, at 12:00 p.m.
Cause of Death: Incomplite abortion septicemia
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: No
Signed/Address: R. C. Wray, M.D., Martin, Ky.
Transcribed by Debbie Tamborski, 16 April 2010 |
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