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DEATH
CERTIFICATE
MILLIE CODY BRUMLEY
Date 22 May 1942
Cert: 10806
Place of Death: County: Clay City or Town:
Manchester #1
Street No. or Location: East Manchester
Length of stay in hospital or community: 10 years
Usual Residence of Deceased: State: Kentucky County:
Clay
City or Town: Manchester
Full Name: Millie CODY BRUMLEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Andy BRUMLEY
Age of husband or wife if alive: 43 years
Birth date of deceased: 22 May 1887
Age: 45 years
Birthplace: Knott Co., Ky.
Occupation: Housewife
Industry or business: Home
Father Name: Wm. P. CODY
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Elizabeth COMBS
Mother Birthplace: Knott Co., Ky.
Informant: Jeanette BRUMLEY, Manchester, Ky.
Burial Place: Garrard, Ky.
Date: 24 May 1942
Signature of funeral director: Fred (?Rominger?--illegible),
Manchester, Ky.
Date received by local registrar: 26 May 1942
Registrar's Signature: Mary Pennington
Date of Death: 22 May 1942
I hereby certify that I attended deceased from 01 September
1941 to
22 May 1942, that I last saw h-- alive on 21 May 1942, and
that death occurred on the date stated above at 10 a.m.
Immediate cause of death: Cerebral Hemorrhage
Duration: (blank)
Due to: Arterio sclerosis
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: (illegible), M.D., Manchester
Date signed: 25 May 1942
Transcribed by Debbie Tamborski, 21 May 2010 |
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