Date: 09 October 1949
Cert: 25925
Place of Death: County: Knott Co.
City or Town: Red Fox
Length of stay (in this place): 12 months
Street address or location: Red Fox
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Red Fox Street Address:
(blank)
Full Name: Lucinda FRANCIS
Date of Death: 09 October 1949
Sex, Color or Race, Marital Status: Female, Colored, Widow
Date of Birth: 16 June 1871
Age: 78 years
Usual Occupation: (blank)
Kind of Industry or business: Housewife
Birthplace: Elk Creek, Ky.
Father's Name: Lewis CHRISTIAN
Mother's Maiden Name: Charity ADAMS
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Tina HAGANS
Disease or condition directly leading to death:
Myocarditis
Interval between onset and death: (blank)
Due to: (blank)
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: 03 December 1949
Address: Whitesburg, Ky.
Signature: B. C. Back, M.D.
Burial, Cremation or Removal: Burial
Date: Johnson Cemetery
Name of Cemetery or Crematory: Cody, Ky.
Location: 05 December 1949
Date received by local registrar: Rose B. Craft
Registrar's Signature: Maggard & Garrett, Hazard, Ky.
Funeral director & address:
Transcribed by Debbie Tamborski, 04 January 2011 |