Date: 24 October 1944
Cert: 27638
Place of Death: County: Knott City or
Town: Carrs Fork, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Carrs Fork
Full Name: Beulah FRYE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: (blank)
Age: 06 days
Birthplace: Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: John FRYE
Father Birthplace: Va.
Mother Maiden Name: Ester HENSLEY
Mother Birthplace: Clay Co., Ky.
Informant: John FRYE, Carrs Fork
Burial Place: Cornett Hill Cem.
Date: 24 October 1944
Signature of funeral director: Engles, Hazard, Ky.
Date received by local registrar: 28 December 1944
Registrar's Signature: Ida Livingston Rose B. Craft
Acting Reg.
Date of Death: 24 October 1944
I hereby certify that I attended deceased from 18 October 1944 to
(blank), that I last saw her alive on 18 October 1944, and
that death occurred on the date stated above at 4 a.m.
Immediate cause of death: Bronchial pneumonia
Duration: (blank)
Due to: Poor development
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: T. J. Chandler, M.D., Allock,
Ky.
Date signed: 30 October 1944
Transcribed by Debbie Tamborski, 12 November 2010 |