|
DEATH
CERTIFICATE
GAIL BORDEN CODY
Date 29 August 1915
Cert: 19877
Place of Death: Voting Precinct: St. Anthony Hospital,
Louisville, Jefferson Co., Ky.
Full Name: Gail Borden CODY
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 06 April 1909
Age: 06 years, 04 months, 23 days
Occupation: none
Birthplace: Knott Co., Ky.
Name of Father: John CODY
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Allie MADDIN
Birthplace Mother: Knott Co., Ky.
Informant/Address: John CODY, Hamdin, Ky.
Filed: 28 August 1915 (transcribed as written)
Registrar: (illegible) by A E W Deputy
Death Date: 29 August 1915
I hereby certify that I attended deceased from 28 August 1915,
to 29 August 1915, that I last saw him alive on 29 August
1915, and that death occurred, on the date stated above, at 8
a.m.
Cause of Death: Shock from operation for appendicitis
Duration: (blank)
Contributory: (blank)
Signed/Address: John R. Wathen, 29 August 1915, Ganlbert Bldg.
Length of residence at place of death: 12 hours
Former or usual residence: Hamdin, Perry Co., Ky.
Place of Burial or Removal: Hamdin, Ky.
Date of Burial: 29 August 1915
Undertaker/Address: Bosse & Son, Louisville, Ky.
Transcribed by Debbie Tamborski, 26 February 2010 |
|