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DEATH
CERTIFICATE
KIZZIE GILLEY
Date 06 November 1936
Cert: 29731
Place of Death: Voting Pct.: 4C Benham, Harlan Co., Ky.
Full Name: Kizzie GILLEY
Residence: Benham, Ky.
Length of Residence: 15 years
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Jess E. GILLEY
Date of Birth: 16 February 1892
Age: 44 years
Occupation: Housewife
Birthplace: Knott Co., Ky.
Father Name: E. M. KING
Birthplace Father: Kentucky
Mother Maiden Name: Mary Bell PENRON
Birthplace Mother: Knott Co., Ky.
Informant/Address: J. E. GILLEY, Benham, Ky.
Burial Cremation Removal Place: Burial - Cumberland, Ky.
Date: 08 November 1936
Undertaker/Address: Arthur M. Johnson, Lynch, Kentucky
Filed: 16 November 1936
Registrar: E. D. Sturgill
Death of Date: 06 November 1936
I hereby certify, That I attended deceased from 06 November
1936 to
06 November 1936, that I last saw her alive on 06 November
1936, death is said
to have occurred on the date stated above, at 11 a.m.
Cause of Death: Cerebral Hemorrhage
Date of onset: 06 November 1936
Contributory causes: Hypertension, Chronic Nephritis
Name of operation: none Date of:
None
What test confirmed diagnosis: None
Was there an autopsy: No
Where did injury occur: None
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: None
Related to occupation: No
Signed/Address: (illegible) Ky.
Transcribed by Debbie Tamborski, 18 April 2010 |
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