Date: 20 January 1947
Cert: 03934
Place of Death: County: Knott City or
Town: Leburn, 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: Leburn Rural
Full Name: Rosanna DANIELS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: John DANIELS
Age of husband or wife if alive: approx. 60 years
Birth date of deceased: 24 January 1896
Age: 50 years, 11 months, 26 days
Birthplace: Pippapass, Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: Andy WATSON
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Bettie GIBSON
Mother Birthplace: Pippapass, Ky.
Informant: Burn WILLIAMS, Leburn, Ky.
Burial Place: Mousie, Ky.
Date: 22 January 1947
Signature of funeral director: (?Plommer?-illegible)
Combs, Leburn, Ky.
Date received by local registrar: 14 February 1947
Registrar's Signature: Rose B. Craft
Date of Death: 20 January 1947
I hereby certify that I attended deceased from September 1946
to (blank), that I last saw him alive on (blank), and that
death occurred on the date stated above at 11 p.m.
Immediate cause of death: (blank)
Duration: (blank)
Due to: Cancer of Womb
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: J. W. Duke, M.D., Hindman, Ky.
Date signed: 14 February 1947
Transcribed by Debbie Tamborski, 17 December 2010 |