Date: 05 September 1949
Cert: 27547
Place of Death: County: Knott
City or Town: Lackey
Length of stay (in this place): (blank)
Street address or location: Home
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Lackey, Ky. Street Address:
(blank)
Full Name: Sallie FITZPATRICK
Date of Death: 05 September 1949
Sex, Color or Race, Marital Status: Female, White,
Widowed
Date of Birth: 1864
Age: 85 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Kentucky
Father's Name: Harsey HANDSHOE
Mother's Maiden Name: Elisa ARNETT
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mrs. Mary BRADLEY
Disease or condition directly leading to death: (blank)
Interval between onset and death: (blank)
Due to: Pneumonia
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 14 February 1950
Address: Hindman, Ky.
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date: 07 September 1949
Name of Cemetery or Crematory: Conley Cemetery
Location: Lackey, Ky.
Date received by local registrar: 10 February 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: G. D. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 04 January 2011 |