Date: 27 June 1946
Cert: 15914
Place of Death: County: Knott City or
Town: Sassafras, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Sassafras, Kentucky
Full Name: Cordia HARRIS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Dead
Age of husband or wife if alive: (blank)
Birth date of deceased: 11 May 1880
Age: 66 years, 02 months, 16 days
Birthplace: Clay Co., Kentucky
Occupation: House Wife
Industry or business: (blank)
Father Name: Allen HARRIS
Father Birthplace: Clay Co., Kentucky
Mother Maiden Name: Nannie MILLER
Mother Birthplace: Clay Co., Kentucky
Informant: Sophia JONES, Sassafras, Ky.
Burial Place: Sassafras
Date: 29 June 1946
Signature of funeral director: Jimmie Blair, Hazard, Ky.
Date received by local registrar: 10 July 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 27 June 1946
I hereby certify that I attended deceased from 01 March 1946 to
27 June 1946, that I last saw her alive on 27 June 1946, and
that death occurred on the date stated above at 5 a.m.
Immediate cause of death: Hypertensive Heart Disease
Duration: 08 months
Due to: (blank)
Major findings of operations: (blank)
Of Autopsy: Not done
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: A. B. Pigman, M.D., Allock
Date signed: 28 June 1946
Transcribed by Debbie Tamborski, 07 December 2010 |