DEATH CERTIFICATE

 NANCY HALL RICHIE FULLER

Date:   29 July 1942
Cert:   20630 
Place of Death: County: Knott     City or Town: Richie, 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:  Richie, Ky.
Full Name:  Nancy Hall Ritchie FULLER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female
Husband or Wife of:  Tack FULLER
Age of husband or wife if alive:  (blank)
Birth date of deceased:  14 June 1867
Age: 75 years, 01 months, 15 days
Birthplace:  Kentucky
Occupation:  Housewife
Industry or business: Housekeeper
Father Name:  Samuel RICHIE
Father Birthplace: Kentucky
Mother Maiden Name:  Chloea HALL
Mother Birthplace:  Kentucky
Informant:  Sam FULLER, Richie, Ky.
Burial Place:  Richie, Ky.
Date: 30 July 1942
Signature of funeral director: Sam Richie, Richie, Ky.
Date received by local registrar:  29 August 1942
Registrar's Signature:  Ida Livingston
Date of Death:  29 July 1942
I hereby certify that I attended deceased from 01 June 1942 to 29 July 1942, that I last saw her alive on 29 July 1942, and that death occurred on the date stated above at 8 p.m.
Immediate cause of death:  Chronic Dilatatation of the heart
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: M. F. Kelley, M.D., Hindman, Ky.
Date signed:  17 August 1942
Transcribed by Debbie Tamborski, 17 October 2010