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DEATH
CERTIFICATE
JAMES B. FITCHPATRICK
Date: 09 November 1947
Cert: 26202
Place of Death: County: Floyd City or Town:
Martin
Hospital or Institution: Beaver Valley Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Martin
Full Name: James B. FITCHPATRICK
If Veteran Name War: W W #1
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Laura FITCHPATRICK
Age of husband or wife if alive: 58
Birth date of deceased: 31 January 1893
Age: 54 years
Birthplace: Knott Co., Ky.
Occupation: Miner Coal
Industry or business: (blank)
Father Name: Henderson FITCHPATRICK
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Elizabeth HOWARD
Mother Birthplace: Knott Co., Ky.
Informant: Mrs. Polly Shepard, Prestonsburg, Ky.
Burial Place: Hunter, Ky.
Date: 11 November 1947
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 18 December 1947
Registrar's Signature: Lucy Ransdell
Date of Death: 09 November 1947
I hereby certify that I attended deceased from 08 November
1947 to
09 November 1947, that I last saw him alive on 09 November
1947, and that death occurred on the date stated above at 4
p.m.
Immediate cause of death: Toxicity
Duration: (blank)
Due to: Strangulated hernia
Duration: 18 hours
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: C. L. Allen, M.D., Martin, Ky.
Date signed: 17 December 1947
Transcribed by Debbie Tamborski, 23 June 2010 |
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