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DEATH
CERTIFICATE
Mrs. LENNIE HARRIS
Date 06 October 1937
Cert: 03697
Place of Death: Voting Pct.: Drift 36, Floyd Co., Ky.
Full Name: Mrs. Lennie HARRIS
Residence: Drift, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White, Widow
Husband or Wife of: ? (transcribed as written)
Date of Birth: 1861
Age: 66 years
Occupation: Hswf.
Birthplace: Knott Co., Ky.
Father Name: Jack JOHNSON
Birthplace Father: Floyd Co., Ky.
Mother Maiden Name: Beckie ISAAC
Birthplace Mother: Knott Co., Ky.
Informant/Address: Marion MULLINS, Drift, Ky.
Burial Cremation Removal Place: Kite, Knott Co.
Date: October 1937
Undertaker/Address: G. D. Ryan, Martin, Ky.
Filed: 21 February 1939
Registrar: Mrs. Ben Norris
Death of Date: 06 October 1937
I hereby certify, That I attended deceased from 25 May 1937 to
06 October 1937, that I last saw her alive on 06 October 1937, death is said
to have occurred on the date stated above, at (blank)
Cause of Death: Cancer of liver (illegible)
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: None
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: W. L. Stumbo, M.D.
Transcribed by Debbie Tamborski, 21 April 2010 |
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