DEATH
CERTIFICATE
GIRTHAN FITCH
Date 21 October 1951
Cert: 21246
Place of Death: County: Perry City or Town:
Ary
Length of stay in hospital or community: 04 1/2 hours
Name of Hospital or Institution: Homeplace Hospital &
Clinic
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Vest, Ky.
Full Name: Girthan FITCH
Date of Death: 21 October 1951
Sex, Color/Race, Marital Status: Female, White, Never married
Date of Birth: 14 April 1937
Age: 14 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Tribbey, Ky.
Father's Name: Ola FITCH
Mother's Maiden Name: Zola COMBS
Was deceased in ever in armed forces: (blank)
Social Security No.: none
Informant: Aunt - Lola (Combs) Dobson
Disease/condition directly leading to death: Primary
Hemorrhage
Interval between onset and death: 4 1/2 hours
Due to: Crush injury of right hip, automobile accident
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: Automobile accident
Place of injury: Highway
City or Town, County, State: Knott, Kentucky
Time of Injury: 21 October 1951 12:30 p.m.
Injury occurred at work: Not while at work
How did injury occur: Car overturned
I hereby certify that I attended deceased from 1:15 p.m. 21
October 1951 to 5:10 p.m. 21 October 1951, that I
last saw the deceased alive on 21 October 1951, and that death occurred on
the date stated above at 5:10 p.m, from the causes and on the date
stated above.
Date signed: 21 October 1951
Address: Homeplace Hospital, Ary, Kentucky
Signature: R. W. Cameron, M.B. ChB.
Burial, Cremation or Removal: Burial
Date: 23 October 1951
Name of Cemetery or Creamatory: Family Cemetery
Location: Vest, Ky.
Date received by local registrar: 26 October 1951
Registrar's Signature: John Taul, Hindman, Ky.
Funeral director and address:
Transcribed by Debbie Tamborski, 17 February 2010 |
|