Date: 09 April 1950
Cert: 07974
Place of Death: County: Knott
City or Town: Rural Kite, Ky.
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If
rural give precinct: Kite, Ky.
Full Name: Arlie BURNS
Date of Death: 09 April 1950
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 1908
Age: 42 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Harlan Co., Ky.
Father's Name: John A. BOGGS
Mother's Maiden Name: Unknown
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Henry BURNS
Disease/condition directly leading to death: Coronary
insufficiency
Interval between onset and death: (blank)
Due to (b): Coronary Occlusion
Due to (c): Arteriosclerosis
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 09 April 1950 to
09 April 1950, that I last saw the deceased alive on 09 April
1950, and
that death occurred at 5:40 a.m., from the causes and on the
date stated above.
Date signed: 11 April 1950
Address: McRoberts, Ky.
Signature: Steve Bowen, M.D.
Burial, Cremation or Removal: Burial
Date: 11 April 1950
Name of Cemetery or Crematory: Family Cem.
Location: Harlan, Ky.
Date received by local registrar: 24 April 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: Craft Funeral Home,
Neon, Ky.
Transcribed by Debbie Tamborski, 10 January 2011 |