Date: 12 February 1947
Cert: 03933
Place of Death: County: Knott Co. City or
Town: Red Fox, Ky.
Street Number or Location: At Home
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Red Fox, Ky.
Full Name: Sarilda HAGANS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, Negro,
Widow
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 02 November 1882
Age: 64 years, 03 months, 10 days
Birthplace: Perry Co.
Occupation: House Wife
Industry or business: (blank)
Father Name: Grnt CORNETT
Father Birthplace: Perry Co.
Mother Maiden Name: Marry CORNETT
Mother Birthplace: Perry Co.
Informant: Roy HAGANS, Red Fox, Ky.
Burial Place: Red Fox, Ky., Knott Co.
Date: 16 February 1947
Signature funeral director: Maggard & Blair F. H.,
Hazard, Ky.
Date received by local registrar: 17 February 1947
Registrar's Signature: Rose B. Craft
Date of Death: 12 February 1947
I hereby certify that I attended deceased from 01 January 1947 to
12 February 1947, that I last saw him alive on 12 February
1947, and that death
occurred on the date stated above at 10 p.m.
Immediate cause of death: Acute Hemoplegia
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: H. P. Duff, M.D., Kodak, Ky.
Date signed: 13 February 1947
Transcribed by Debbie Tamborski, 17 December 2010 |