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DEATH
CERTIFICATE
SARAH KELLY FAIRCHILDS
Date: 03 July 1944
Cert: 16629
Place of Death: County: Letcher City or Town:
Whitesburg
Street No. or Location: (blank)
Length of stay in hospital or community: 20 years
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: Whitesburg
Full Name: Sarah KELLY FAIRCHILDS
If Veteran Name War: no
Social Security No.: no
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Steve FAIRCHILDS
Age of husband or wife if alive: 50 years
Birth date of deceased: 25 July 1875
Age: 68 years, 11 months, 08 days
Birthplace: Loots Creek - Knot Co., Ky. [sic]
Occupation: Housewife
Industry or business: (blank)
Father Name: Thomas KELLY
Father Birthplace: Ky.
Mother Maiden Name: Marianna YOUNG
Mother Birthplace: Ky.
Informant: Georgia TAYLOR, Whitesburg, Ky.
Burial Place: Sandlick
Date: 05 July 1944
Signature of funeral director: Archie CRAFT, Whitesburg, Ky.
Date received by local registrar: 08 July 1944
Registrar's Signature: E. M. Collins
Date of Death: 03 July 1944
I hereby certify that I attended deceased from 1932 to
05 July 1944, that I last saw him alive on (blank), and that death
occurred on the date stated above at 9 a.m.
Immediate cause of death: Senility
Duration: (blank)
Due to: Chronic myocordts [sic]
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: (illegible) J.
Crawford, M.D., Whitesburg, Ky.
Date signed: 07 July 1944
Transcribed by Debbie Tamborski, 02 June 2010 |
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