Date: 31 May 1944
Cert: 13042
Place of Death: County: Knott City or
Town: Talcum, Ky.
Street Number or Location: rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Elmrock Rural
Full Name: Sidney FITCHPATRICK
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Alex FITCHPATRICK
Age of husband or wife if alive: (blank)
Birth date of deceased: 04 February 1869
Age: 75 years, 03 months, 25 days
Birthplace: Knott County
Occupation: Housewife
Industry or business: Housekeeping
Father Name: John GRIFFITH
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Cynthia BRADLEY
Mother Birthplace: Knott Co., Ky.
Informant: Susan FUGATE, Talcum, Ky.
Burial Place: Handshoe, Ky.
Date: 02 June 1944
Signature of funeral director: Sons of deceased, In Army
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 31 May 1944
I hereby certify that I attended deceased from 07 December
1943 to
17 May 1944, that I last saw him alive on (blank), and that
death occurred on the date stated above at 1 p.m.
Immediate cause of death: Pulmonary Tuberculosis
Duration: (blank)
Due to: (blank)
Other conditions: Fractured Pelvis in fall at home
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: S. M. Richie, M.D., Hazard, Ky.
Date signed: 04 March 1945
Transcribed by Debbie Tamborski, 12 November 2010 |