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DEATH
CERTIFICATE
JAMES FRANKLIN
Date 09 May 1943
Cert: 11690
Place of Death: County: Kenton City or Town:
Covington
Street No. or Location: #4 - E. 28th St.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky County:
Kenton
City or Town: Covington Street No.: #4 - E.
28th St.
Full Name: James FRANKLIN
If Veteran Name War: no
Social Security No.: none
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Margaret FRANKLIN
Age of husband or wife if alive: (blank)
Birth date of deceased: 15 March 1876
Age: 67 years, 01 months, 24 days
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Kelly FRANKLIN
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Don't know
Mother Birthplace:
" "
Informant: Margaret FRANKLIN, 4 - E. 28th Street
Burial Place: Neon, Ky.
Date: 10 May 1943
Signature of funeral director: Allison & Rose, Covington, Ky.
Date received by local registrar: 11 May 1943
Registrar's Signature: Mrs. H. C. (illegible)
Date of Death: 09 May 1943
I hereby certify that I attended deceased from 28 December
1942 to
09 May 1943, that I last saw him alive on 09 May 1943, and
that death occurred on the date stated above at 5:15 a.m.
Immediate cause of death: Coronary Occlusion
Duration: (blank)
Due to: Arteriosclerotic Heart Disease
Duration: 03 years +
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: Y. Sasski, M.D., 1101 Scott St.
Date signed: 10 May 1943
Transcribed by Debbie Tamborski, 31 May 2010 |
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