Date: 10 June 1948
Cert: 19029
Place of Death: County: Knott City or
Town: Carrie, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Carrie Rural
Full Name: Mrs. Essie YORK CARROLL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Joe CARROLL
Age of husband or wife if alive: 46 years
Birth date of deceased: 23 June 1904
Age: 43 years, 11 months, 17 days
Birthplace: Jellico, Tenn.
Occupation: House wife
Industry or business: (blank)
Father Name: Martin YORK
Father Birthplace: Tennessee
Mother Maiden Name: Mary CARROLL
Mother Birthplace: Tennessee
Informant: Joe CARROLL, Carrie, Ky.
Burial Place: Engle Cem. (Knott)
Date: 13 June 1948
Signature of funeral director: Engles, Hazard, Ky.
Date received by local registrar: 28 September 1948
Registrar's Signature: Rose B. Craft
Date of Death: 10 June 1948
I hereby certify that I attended deceased from 15 May 1948 to
17 May 1948, that I last saw him alive on 17 May 1948, and
that death occurred on the date stated above at 11:30 a.m.
Immediate cause of death: Heart failure
Duration: Few seconds
Due to: (1) Hypertension
Duration: unknown
Due to: (2) Sudden emotional shock. Pt. delivered
normally on 15 May 1948 a 9 lb. baby boy, with uneventful
postpartal course, and had been up and about several weeks
before the heart attack
Duration: Momentarily
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: D. G. Barker, M.D., Hindman, Ky.
Date signed: 25 September 1948
Transcribed by Debbie Tamborski, 22 December 2010 |