|
DEATH
CERTIFICATE
MRS. JAMES FRANKLIN (LIZZIE)
Date 15 September 1940
Cert: 21174
Place of Death: County: Floyd City or Town: Martin
Name of Hospital or Institution: Beaver Valley Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Halle
Full Name: Mrs. James FRANKLIN (Lizzie)
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: J. S. FRANKLIN
Age of Husband or Wife if alive: 65
Birth date of deceased: 19 February 1881
Age: 58 years, 06 months, 26 days
Birthplace: Melvin, Ky.
Occupation: Domestic
Industry or business: (blank)
Father Name: James C. HOPKINS
Father Birthplace: N.C.
Mother Maiden Name: Mary E. LITTLE
Mother Birthplace: Pikeville, Ky.
Informant: J. S. FRANKLIN, Wheelwright, Ky.
Burial Place: Halle, Ky.
Date: 18 September 1940
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 25 September 1940
Registrar's Signature: Mrs. Ben Norris
Date of Death: 15 September 1940
I hereby certify that I attended deceased from 07 September
1940 to 15 September 1940, that I last saw her alive on 15 September 1940, and that
death occurred on the date stated above at 5:00 p.m.
Immediate cause of death: Hypertensive Heart Disease
Other conditions: (blank)
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: W. L. Stumbo, M.D., Lackey, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 30 January 2010 |
|