Date: 21 February 1941
Cert: 10595
Place of Death: County: Knott City or
Town: Carrie
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Carrie If rural
give precinct: 6
Full Name: Aurora B. Perkins DAVIDSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of: Elhanon DAVIDSON
Age of husband or wife if alive: (blank)
Birth date of deceased: 08 August 1864
Age: 76 years, 06 months, 13 days
Birthplace: Grayson Co., Va.
Occupation: House Keeping
Industry or business: (blank)
Father Name: (Major) L. J. PERKINS
Father Birthplace: Grayson Co., Va.
Mother Maiden Name: Rhoda PERKINS
Mother Birthplace: Grayson Co., Va.
Informant: Orlando DAVIDSON, Carrie, Knott Co., Ky.
Burial Place: Carrie
Date: 24 February 1941
Signature of funeral director: (blank)
Date received by local registrar: 25 April 1941
Registrar's Signature: Macie Miller
Date of Death: 21 February 1941
I hereby certify that I attended deceased from 21 February
1941 to
21 February 1941, that I last saw her alive on 21 February
1941, and that death
occurred on the date stated above at 8 p.m.
Immediate cause of death: Burned
Duration: 03 hours
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: accident
Date of occurrence: 21 February 1941
Where did injury occur: in own home
While at work: no
Means of injury: burned
Signature & Address: Mark Dempsey, M.D., Hindman, Ky.
Date signed: 22 April 1941
Transcribed by Debbie Tamborski, 12 October 2010 |