DEATH
CERTIFICATE
WILLIAM H. DAY
Date 02 February 1953
Cert: 02386
Place of Death: County: Fayette City or Town:
Lexington
Length of stay in hospital or community:
Name of Hospital or Institution: St. Joseph's Hospital
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Hindman
Full Name: William H. DAY
Date of Death: 02 February 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 09 May 1903
Age:49 years
Usual Occupation: Not known
Kind of Industry or business: (blank)
Birthplace: Knott County, Kentucky
Father's Name: David DAY
Mother's Maiden Name: Louraina SMITH
Was deceased ever in armed forces: Yes, no war
Social Security No.: (blank)
Informant: Hospital Records
Disease or condition directly leading to death:
Hypertensive cardiovascular disease
Interval between onset and death: (blank)
Due to: Congestive heart failure
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
02 February 1953, that I
last saw the deceased alive on (blank), and that death occurred on
the date stated above at (blank), from the causes and on the date
stated above.
Date signed: 06 February 1953
Address: Lexington, Ky.
Signature: Chas. N. Kavanaugh
Burial, Cremation or Removal: Burial
Date: 05 February 1953
Name of Cemetery or Creamatory: Day Family Cem.
Location: Brinkley, Kentucky
Date received by local registrar: 09 February 1953
Registrar's Signature: D. A. Furlong
Funeral director/address: Everett & Watts, Hindman,
Kentucky
Transcribed by Debbie Tamborski, 21 February 2010 |
|