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DEATH
CERTIFICATE
Mrs. ELIZABETH ESTEPP
Date 16 February 1943
Cert: 04663
Place of Death: County: Montgomery City or Town:
Rural
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence: State: Kentucky County: Montgomery
City or Town: Rural Street No.
Jeffersonville, R. R. #1
Full Name: Mrs. Elizabeth ESTEPP
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widow
Husband or Wife of: James ESTEPP
Age of husband or wife if alive: (blank)
Birth date of deceased: Don't know
Age: 87 years
Birthplace: Knott Co., Ky.
Occupation: At home
Industry or business: (blank)
Father Name: William AMBURGY
Father Birthplace: Ky.
Mother Maiden Name: Lucy AMBURGY
Mother Birthplace: Ky.
Informant: Allen MALONEY, Mt. Sterling, Ky., R. R. #4
Burial Place: Lovely Grave Yard
Date: 17 February 1943
Signature of funeral director: Family, Jeffersonville, Ky., R.
1
Date received by local registrar: 17 February 1943
Registrar's Signature: Mrs. Ray M. Sueff
Date of Death: 16 February 1943
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 2 a.m.
Immediate cause of death: Chronic Nephritis
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: Tom Douglas, Coroner, Mt.
Sterling, Ky.
Date signed: 16 February 1943
Transcribed by Debbie Tamborski, 31 May 2010 |
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