|
DEATH
CERTIFICATE
Baby JOE CHILDERS
Date 09 October 1939
Cert: 27972
Name: Baby Joe CHILDERS
Place of Death: Lackey, Stumbo Hospital, Knott Co., KY
Length of Stay in Hospital: 6 days
Residence: Garrett, Floyd Co., Ky.
Male, White
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 02 years
Place of Birth: Floyd Co.
Occupation: (blank)
Name of Father: Jim CHILDERS
Birthplace Father: (illegible)
Maiden Name of Mother: Hala (Illegible)
Birthplace Mother: Johnson
Informant: Jim CHILDERS, Garrett
Death Date: 09 October 1939
Cause of Death: Lobar pneumonia
Signed: C. B. Ison, M.D., Lackey, Ky., 12 October
1939
Burial Place: Lackey, Ky.
Date of Burial: 11 October 1939
Undertaker: (illegible), Paintsville
File Date: 06 November 1939
Registrar: J. F. Combs
Transcribed by Debbie Tamborski, 10 November 2009 |
|