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DEATH
CERTIFICATE
CLAUDA GEARHEART
Date 05 February 1923
Cert: 30178
Place of Death: Voting Precinct: Estep, Floyd Co., Ky.
Full Name: Clauda GEARHEART
Sex, Color or Race, Marital Status: Female, White,
(blank)
Date of Birth: (blank)
Age: 20 years
Occupation: Housekeeping
Birthplace: Knott Co.
Name of Father: J. M. CONLEY
Birthplace Father: Breathitt Co.
Maiden name of Mother: Pheba COBURN
Birthplace Mother: Floyd Co.
Informant/Address: Willis CONLEY, Garrett, Ky.
Filed: (blank)
Registrar: G. S. Howard
Death Date: 05 February 1923
I hereby certify that I attended deceased from (blank), to
(blank), that I last saw h-- alive on (blank), and that death
occurred, on the date stated above, at (blank)
Cause of Death: Pneumonia Fever
Duration: (blank)
Contributory: (blank)
Signed/Address: Dr. M. M. Collins, M.D., 05 February
1923, Lackey, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Sutton Cemetery
Date of Burial: 06 February 1923
Undertaker/Address: J. M. Conley, Handshoe, Ky.
Transcribed by Debbie Tamborski, 19 March 2010 |
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