|
DEATH
CERTIFICATE
BERTHA HELEN FRANCIS
Date 30 August 1938
Cert: 25230
Name: Bertha Helen FRANCIS
Place of Death: Voting Pct. Lower Jones Fork #19, Stumbo
Memorial Hospital, Knott Co., KY
Residence: Lackey, Ky.
Length of residence: (blank)
Female, White, Infant
Husband or Wife of: (blank)
Birth Date: 21 March 1938
Age: 05 months, 10 days
Occupation: (blank)
Place of Birth: Wayland, Ky.
Name of Father: Malcolm FRANCIS
Birthplace Father: Pikeville, Ky.
Maiden Name of Mother: Lula TUTTLE
Birthplace Mother: Wayland, Ky.
Informant: Ollie BOLEN, Lackey, Ky.
Death Date: 30 August 1938
Cause of Death: I leo colitis, Bronchopneumonia
Signed: E. J. Hall, M.D., Stumbo Hosp., Lackey, Ky.
Burial Place: Sizemore, Ky.
Date of Burial: 31 August 1938
Undertaker: Ryan Funeral Home, Martin
File Date: 24 October 1938
Registrar: G. C. Collins, D.D.S., Lackey, Ky.
Transcribed by Debbie Tamborski, 28 October 2009 |
|