|
DEATH
CERTIFICATE
DORA CHILDERS
Date 14 December 1937
Cert: 30722
Place of Death: Voting Pct.: Beaver Valley Hosp.,
Martin, Floyd Co., Ky.
Full Name: Dora CHILDERS
Residence: Bevinsville, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Lone CHILDERS
Date of Birth: not known
Age: 26 years
Occupation: Housework
Birthplace: Knott Co., Ky.
Father Name: Johnie CAUDILL
Birthplace Father: Knott Co., Ky.
Mother Maiden Name: Hulda Issac
Birthplace Mother: Floyd Co., Ky.
Informant/Address: Lone CHILDERS, Bevinsville, Ky.
Burial Cremation Removal Place: Top Most, Ky.
Date: 16 December 1937
Undertaker/Address: E. P. Arnold, Prestonsburg, Ky.
Filed: 14 December 1937
Registrar: W. M. Griffith
Death of Date: 14 December 1937
I hereby certify, That I attended deceased from 13 December
1937 to 14 December 1937, that I last saw her alive on 14
December 1937, death is said
to have occurred on the date stated above, at 10 p.m.
Cause of Death: Meningitis, meningocossic
Date of onset: 12 December 1937
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: J. R. Allen, M.D., Martin, Ky.
Transcribed by Debbie Tamborski, 21 April 2010 |
|