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DEATH
CERTIFICATE
MAGGIE COOK
Date 10 August 1936
Cert: 21487
Place of Death: Voting Pct.: Beaver Valley Hospital,
Martin, Floyd Co., Ky.
Full Name: Maggie COOK
Residence: Kite, Ky., Knott Co.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Bill COOK
Date of Birth: Not Known
Age: 40 years
Occupation: Housework - own home
Birthplace: Knott Co., Ky.
Father Name: John HARRIS
Birthplace Father: Knott Co., Ky.
Mother Maiden Name: Vina Ellen THOMAS
Birthplace Mother: Knott Co., Ky.
Informant/Address: Wayne MCCARTY, Wheelwright, Ky.
Burial Cremation Removal Place: Kite
Date: 12 August 1936
Undertaker/Address: E. P. Arnold, Prestonsburg
Filed: 10 August 1936
Registrar: W. M. Griffith
Death of Date: 10 August 1936
I hereby certify, That I attended deceased from 10 August 1936 to
10 August 1936, that I last saw her alive on 10 August 1936, death is said
to have occurred on the date stated above, at 10:30 p.m.
Cause of Death: Intestinal obstruction
Date of onset: 07 August
Contributory causes: Toxemia
Name of operation: Int. Resection
Date of: 10 August
What test confirmed diagnosis: (blank)
Was there an autopsy: No
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: No
Signed/Address: Ben B. Rader, M.D.
Transcribed by Debbie Tamborski, 18 April 2010 |
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