Date: 07 March 1941
Cert: 10600
Place of Death: County: Knott City or
Town: Redfox, Kentucky
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: Redfox
Full Name: Rachel DIXON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of: W. V. DIXON
Age of husband or wife if alive: (blank)
Birth date of deceased: 14 December 1871
Age: 69 years
Birthplace: Blackey, Ky.
Occupation: House keeper
Industry or business: (blank)
Father Name: A. J. CRASE
Father Birthplace: Roxana, Ky.
Mother Maiden Name: Nancy Ann CAUDILL
Mother Birthplace: Jeremiah, Ky.
Informant: Louisa CAUDILL, Redfox, Ky.
Burial Place: Carbon Glo, Ky.
Date: (illegible) March 1941
Signature of funeral director: (blank)
Date received by local registrar: 28 April 1941
Registrar's Signature: Macie Miller
Date of Death: 07 March 1941
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Paralysis
Duration: (blank)
Due to: (blank)
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
Date signed: (blank)
Transcribed by Debbie Tamborski, 12 October 2010 |