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DEATH
CERTIFICATE
EDWARD DAY
Date 28 June 1929
Cert: 18996
Place of Death: Voting Pct: Lynch, Harlan Co., Ky.
Full Name: Edward DAY
Residence: Lynch, Ky.
Length of Residence in city where death occurred:
(blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Date of Birth: (blank)
Age: 05 months
Occupation: None
Birthplace: Knott Co., Ky.
Father Name: M. M. DAY
Birthplace Father: Letcher Co., Ky.
Mother Maiden Name: Ida NAPIER
Birthplace Mother: West Virginia
Informant/Address: M. M. Day, Dongola, Ky.
Filed: 28 June 1929
Registrar: A. H. Johnson
Death of Date: 28 June 1929
I hereby certify that I attended deceased from 26 June 1929 to
28 June 1929, that I last saw him alive on 28 June 1929, and
that death occurred on the date stated above at 3 p.m.
Cause of Death: Summer Diarrhea
Duration: 14 days
Contributory: (blank)
Duration: (blank)
Where was disease contracted if not at place of death?:
(blank)
Did an operation precede death: (blank) Date: (blank)
Was there an autopsy: (blank)
What test confirmed diagnosis: (blank)
Signed/Address: Carlisle R. Petty, M.D.,
28 June 1929, Lynch, Ky.
Place of Burial or Removal: Dongola, Ky.
Date of Burial: (blank)
Undertaker/Address: Arthur H. Johnson, Lynch, Ky.
Transcribed by Debbie Tamborski, 27 March 2010 |
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