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DEATH
CERTIFICATE
SUSAN BROWN
Date 19 May 1934
Cert: 11081
Place of Death: Voting Pct.: #15 Olive Hill, Carter Co., Ky.
Full Name: SUSAN BROWN
Residence: (blank)
Length of Residence in city where death occurred:
(blank)
Sex, Color or Race, Marital Status: Female, White, Widow
Husband or Wife of: Robert BROWN
Date of Birth: 28 August 185?
Age: 82 years, 07 months, 09 days
Occupation: Housekeeper
Birthplace: Hindman, Ky.
Father Name: John MARTIN
Birthplace Father: Hindman, Ky.
Mother Maiden Name: Polly HIGGINS
Birthplace Mother: Lacky, Ky.
Informant/Address: Russell L. JONES, Olive Hill, Ky.
Filed: 10 June 1934
Registrar: C. M. Erwes
Death of Date: 19 May 1934
I hereby certify that I attended deceased from 01 March 1934
to 19 April 1934, that I last saw her alive on 19 April 1934,
and that death occurred on the date stated above at 6 a.m.
Cause of Death: Chronic myocarditis
Duration: 06 months
Contributory: Artero sclerosis
Duration: 10 years
Where was disease contracted if not at place of death?:
(blank)
Did an operation precede death: (blank) Date: (blank)
Was there an autopsy: (blank)
What test confirmed diagnosis: (blank)
Signed/Address: Chas McCleese, M.D., 19
May 1934, Olive Hill, Ky.
Place of Burial or Removal: Olive Hill, Ky.
Date of Burial: 20 May 1934
Undertaker/Address: none
Transcribed by Debbie Tamborski, 04 April 2010 |
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