DEATH CERTIFICATE

LUCINDA FRANCIS

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