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DEATH
CERTIFICATE
OZA MAE ETHINGTON
Date 31 March 1940
Cert: 08229
Place of Death: County: Nelson City or Town:
Lenora, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Nelson
City or Town: Lenora, Ky. Rural
Full Name: Oza Mae ETHINGTON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Ray ETHINGTON
Age of husband or wife if alive: 20 years
Birth date of deceased: 09 August 1922
Age: 18 years, 07 months, 13 days
Birthplace: Knott Co., Ky.
Occupation: Housekeeper
Industry or business: (blank)
Father Name: Elzy MORTEN
Father Birthplace: Ky.
Mother Maiden Name: Levada HAMBERG
Mother Birthplace: Ky.
Informant: Mrs. Iva ETHINGTON, Deatersville, Ky.
Burial Place: New Salem
Date: 01 April 1940
Signature funeral director: E. T. McAfee, Mt. Washington, Ky.
Date received by local registrar: 04 April 1940
Registrar's Signature: Mary E. Greenwell
Date of Death: 31 March 1940
I hereby certify that I attended deceased from 31 March 1940 to
31 March 1940, that I last saw him alive on 31 March 1940, and
that death occurred on the date stated above at 9:15 a.m.
Immediate cause of death: Post Partum Hemorrhage
Duration: (blank)
Due to: Child birth and anti partum hemorrhage
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: W. E. Crume, Bardstown, Ky.
Date signed: 01 April 1940
Transcribed by Debbie Tamborski, 08 May 2010 |
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