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DEATH
CERTIFICATE
JOHN FARROW
Date 05 February 1930
Cert: Duplicate # 03160 Original
# 08598
Place of Death: Voting Pct: Palmyra,
Hopkinsville, Christian Co., Ky.
Full Name: John FARROW
Residence: Western State Hospital, Hopkinsville, Ky.
Length of Residence in city where death occurred: 05 years, 03
months, 29 days
Sex, Color or Race, Marital Status: Male, Black, Widower
Husband or Wife of: (blank)
Date of Birth: 1868
Age: 62 years
Occupation: Miner, R. R. Man & Plasterer
Birthplace: Knott Co., Kentucky
Father Name: Buford FARROW
Birthplace Father: Knox Co., Ky.
Mother Maiden Name: Sarah YOUNG
Birthplace Mother: Knox Co., Ky.
Informant/Address: W. S. Hospital Records, Hopkinsville,
Ky.
Filed: 08 February 1930
Registrar: Ruth Bagby
Death of Date: 05 February 1930
I hereby certify that I attended deceased from 08 April 1929 to
05 February 1930, that I last saw him alive on 04 February
1930, and that death
occurred on the date stated above at 1:25 a.m.
Cause of Death: Broncho Pneumonia
Duration: 08 days
Contributory: Psychosis
Duration: about 6 years
Where was disease contracted if not at place of death?: W.S.H.
Did an operation precede death: no
Date: none
Was there an autopsy: no
What test confirmed diagnosis: Clinical
Signed/Address: D. C. Brooks, M.D., 05 February 1930,
Western State Hosp., Hopkinsville, Ky.
Place of Burial or Removal: W of Louisville, Ky.
Date of Burial: 08 February 1930
Undertaker/Address: W. S. Hospital, Hopkinsville, Ky.
Transcribed by Debbie Tamborski, 29 March 2010 |
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