Date: 20 March 1941
Cert: 10599
Place of Death: County: Knott City or
Town: Redfox, Kentucky
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Letcher
City or Town: Isom
Full Name: Matilda FRANKLIN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of: Kelly FRANKLIN
Age of husband or wife if alive: (blank)
Birth date of deceased: 13 January 1855
Age: 86 years
Birthplace: Smithboro, Ky.
Occupation: House keeper
Industry or business: (blank)
Father Name: Elic SMITH
Father Birthplace: Smithboro, Ky.
Mother Maiden Name: unknown
Mother Birthplace: (blank)
Informant: Percy MCINTOSH, Red Fox, Ky.
Burial Place: Litcarr
Date: 22 March 1941
Signature of funeral director: (blank)
Date received by local registrar: 28 April 1941
Registrar's Signature: Macie Miller
Date of Death: 20 March 1941
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Heart disease
Duration: (blank)
Due to: (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 & Address: J. W. Duke, M.D., Hindman
Date signed: (blank)
Transcribed by Debbie Tamborski, 12 October 2010 |