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DEATH
CERTIFICATE
NERVA JANE
HAMILTON
Date: 03 January 1949
Cert: 00524
Place of Death: County: Floyd Co. City
or Town: Teaberry
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Teaberry
Full Name: Nerva Jane HAMILTON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Robert L. HAMILTON
Age of husband or wife if alive: 51 years
Birth date of deceased: 29 December 1908
Age: 40 years
Birthplace: Knott Co.
Occupation: Housewife
Industry or business: (blank)
Father Name: William PAGE
Father Birthplace: Knott Co.
Mother Maiden Name: Alice HALL
Mother Birthplace: Letcher Co.
Informant: Robert L. HAMILTON, Teaberry, Ky.
Burial Place: Dony
Date: 04 January 1949
Signature of funeral director: E. P. Arnold, Prestonsburg, Ky.
Date received by local registrar: 07 January 1949
Registrar's Signature: Lucy Ransdell
Date of Death: 03 January 1949
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Pul. Tuberculosis
Duration: 02 years
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: Marvin Ransdell, M.D., Prestonsburg, Ky.
Date signed: 07 January 1949
Transcribed by Debbie Tamborski, 12 July 2010 |
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