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DEATH
CERTIFICATE
CAROLINE MARTIN HARRIS
Date: 24 July 1947
Cert: 17478
Place of Death: County: Floyd City or Town:
Prestonsburg
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Floyd
City or Town: Prestonsburg
Full Name: Caroline MARTIN HARRIS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of: James P. HARRIS
Age of husband or wife if alive: (blank)
Birth date of deceased: 15 September 1856
Age: 90 years, 10 months, 09 days
Birthplace: Mousie, Kentucky
Occupation: Housewife
Industry or business: (blank)
Father Name: William MARTIN
Father Birthplace: Tazewell Co., Va.
Mother Maiden Name: Anna OSBORNE
Mother Birthplace: North Carolina
Informant: Anna MARTIN, Prestonsburg, Kentucky
Burial Place: Allen, Ky.
Date: 26 July 1947
Signature of funeral director: E. P. Arnold, Prestonsburg, Ky.
Date received by local registrar: 15 August 1947
Registrar's Signature: Lucy Ransdell
Date of Death: 24 July 1947
I hereby certify that I attended deceased from May 1940 to 24
July 1947, that I last saw him alive on 24 July 1947, and that
death occurred on the date stated above at 1 p.m.
Immediate cause of death: Myocarditis
Duration: (blank)
Due to: Ateriosclerosis Hypertension Chronic Arthritis
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: G. D. Callihan, M.D.,
Prestonsburg, Ky.
Date signed: 12 August 1947
Transcribed by Debbie Tamborski, 23 June 2010 |
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