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DEATH
CERTIFICATE
ABYATINE FOUTS
Date: 22 July 1951
Cert: 14654
Place of Death: County: Letcher City or Town:
Rural - Ermine
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky County:
Letcher
City or Town: Rural - Ermine Street Address: (blank)
Full Name: Abyatine FOUTS
Date of Death: 22 July 1951
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 22 August 1876
Age: 74 years
Usual Occupation: Housewife
Kind of Industry or business: Own home
Birthplace: Knott County, Kentucky
Father's Name: Tandy KING
Mother's Maiden Name: Fannie HARRIS
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Mrs. Milton HALL, Ermine, Kentucky
Disease/condition directly leading to death: Chronic
Myocarditis
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: virus pneumonia
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
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 18 July 1951 to
21 July 1951, that I last saw the deceased alive on 21 July
1951, and
that death occurred at 1 p.m., from the causes and on the
date stated above.
Date signed: 23 July 1951
Address: Whitesburg, Kentucky
Signature: J. E. Crawford, M.D.
Burial, Cremation or Removal: Burial
Date: 24 July 1951
Name of Cemetery or Crematory: Hall Cemetery
Location: Ermine, Letcher Co., Ky.
Date received by local registrar: 28 July 1951
Registrar's Signature: G. W. Collins
Funeral director & address: Arthur H. Johnson, Lynch,
Kentucky
Transcribed by Debbie Tamborski, 23 July 2010 |
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