Date: 04 July 1946
Cert: 01695
Place of Death: County: Knott City or
Town: Lackey, Ky.
Name of Hospital or Institution: Stumbo Memo. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Wheelwright, Ky.
Full Name: Hattie GREEN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, Col. Black,
Married
Husband or Wife of: Ed GREEN
Age of husband or wife if alive: 53 years
Birth date of deceased: 03 August 1881
Age: 64 years, 11 months, 01 days
Birthplace: Hallifax, Va.
Occupation: Housewife
Industry or business: (blank)
Father Name: unknown
Father Birthplace: (blank)
Mother Maiden Name: Loucindia ADAMS
Mother Birthplace: Hallifax, Va.
Informant: Ed GREEN, Wheelwright, Ky.
Burial Place: Wheelwright, Ky.
Date: 06 July 1946
Signature of funeral director: (blank)
Date received by local registrar: 06 December 1946
Registrar's Signature: Rose B. Craft
Date of Death: 04 July 1946
I hereby certify that I attended deceased from 02 July 1946 to
04 July 1946, that I last saw h-- alive on 04 July 1946, and
that death occurred on the date stated above at 7:55 a.m.
Immediate cause of death: Pneumonia Lobar
Duration: 03 days
Due to: Decompensated Heart Disease
Other Conditions: Senility
Major findings of operations: None Of Autopsy:
None
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. S. Williams, M.D., Lackey, Ky.
Date signed: 04 July 1946
Transcribed by Debbie Tamborski, 07 December 2010
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