DEATH CERTIFICATE

 ROSEE EASTEP

Date:   09 July 1941
Cert:   20357 
Place of Death: County: Knott     City or Town: Lackey
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Floyd
City or Town:  Dorton, Ky.     Street No.:  Pike Co.
Full Name:   Rosee EASTEP 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of:  D. B. EASTEP
Age of husband or wife if alive: 44 years
Birth date of deceased:  18 April 1900
Age: 41 years, 02 months
Birthplace:  Pike Co.
Occupation:  Domestic
Industry or business: (blank)
Father Name:  Abel COLLIER
Father Birthplace:  Pike Co.
Mother Maiden Name:  Anna SLONE
Mother Birthplace:  Pike Co.
Informant:  D. B. EASTEP, Dorton, Ky.
Burial Place:  Dorton, Ky.
Date:  10 July 1941
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar:  15 August 1941
Registrar's Signature:  Phena Slone
Date of Death:  09 July 1941
I hereby certify that I attended deceased from 05 July 1941 to 09 July 1941, that I last saw her alive on 09 July 1941, and that death occurred on the date stated above at 5:30 a.m.
Immediate cause of death:  (illegible)
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: (blank)
Date signed:  (blank)
Transcribed by Debbie Tamborski, 12 October 2010