|
DEATH
CERTIFICATE
WILLIAM B. FITZPATRICK
Date: 18 August 1948
Cert: 16161
Place of Death: County: Floyd City or Town: Martin,
Ky.
Hospital or Institution: Beaver Valley Hospital
Length of stay in hospital or community: Five Days
Usual Residence of Deceased: State: Kentucky
County: Floyd
City or Town: Garrett, Ky.
Full Name: William B. FITZPATRICK
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Sylvania FITZPATRICK
Age of husband or wife if alive: 68 years
Birth date of deceased: 14 April 1872
Age: 76 years, 05 months
Birthplace: Knott County, Kentucky
Occupation: Stationary Engineer (Retired)
Industry or business: (blank)
Father Name: Henderson FITZPATRICK
Father Birthplace: Knott County, Kentucky
Mother Maiden Name: Elizabeth HOWARD
Mother Birthplace: Knott County, Ky.
Informant: Sylvania FITZPATRICK, Garrett, Ky.
Burial Place: Eastern, Ky.
Date: 20 August 1948
Signature of funeral director: G. D. Ryan,
Martin, Ky.
Date received by local registrar: 31 August
1948
Registrar's Signature: Lucy Ransdell
Date of Death: 18 August 1948
I hereby certify that I attended deceased from 13 August 1948 to
18 August 1948, that I last saw him alive on 18 August 1948,
and that death occurred on the date stated above at 11:40 a.m.
Immediate cause of death: Cerebral Hemorrhage
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Robert M. Sirkle, M.D.,
Martin, Ky.
Date signed: 31 August 1948
Transcribed by Debbie Tamborski, 01 July 2010 |
|