DEATH
CERTIFICATE
EVA HAYES DUKE
Date 01 July 1952
Cert: 14167
Place of Death: County: Fayette City or Town:
Lexington
Length of stay in hospital or community: 04 days
Name of Hospital or Institution: Good Samaritan
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Hindman
Full Name: Eva HAYES DUKE
Date of Death: 01 July 1952
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 07 December 1872
Age: 79 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping House
Birthplace: Breathitt Co., Ky.
Father's Name: James HAYES
Mother's Maiden Name: Matilda MCDANIEL
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: James DUKE
Disease or condition directly leading to death:
Arteriosclerosis nephritis
Interval between onset and death: (blank)
Due to: Arteriosclerotic heart disease
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for 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 01 July 1952 to
(blank), that I
last saw the deceased alive on (blank), and that death occurred on
the date stated above at 7:15 p.m., from the causes and on the date
stated above.
Date signed: 09 July 1952
Address: Lexington, Ky.
Signature: Chas. N. Kavanaugh, M.D.
Burial, Cremation or Removal: Burial
Date: 04 July 1952
Name of Cemetery or Creamatory: Hindman Cemetery
Location: Hindman, Ky.
Date received by local registrar: 11 July 1952
Registrar's Signature: D. A. Furlong
Funeral director and address: Hindman Funeral Home,
Hindman, Ky., John N. Taul
Transcribed by Debbie Tamborski, 20 February 2010 |
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