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DEATH
CERTIFICATE
NORCIE HAYS
Date 31 July 1933
Cert: 16043
Place of Death: Voting Pct.: Beaver Valley Hospital,
Martin, Floyd Co., Ky.
Full Name: Norcie HAYS
Residence: Mousie, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Linzie HAYS
Date of Birth: 03 February 1900
Age: 33 years, 05 months, 25 days
Occupation: Housekeeper
Birthplace: Knott Co., Ky.
Father Name: M. M. PRATT
Birthplace Father: Floyd Co.
Mother Maiden Name: Alifair WALLEN
Birthplace Mother: Knott Co.
Informant/Address: Linzie HAYS
Burial Cremation Removal Place: Mousie
Date: 02 August 1933
Undertaker/Address: G. D. Ryan, Martin, Ky.
Filed: 01 August 1933
Registrar: Mrs. W. L. Stumbo
Death of Date: 31 July 1933
I hereby certify, That I attended deceased from 31 July 1933 to
01 August 1933, that I last saw her alive on 01 August 1933, death is said
to have occurred on the date stated above, at 1:50 a.m.
Cause of Death: Ruptured appendix
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: (blank)
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, Martin, Ky.
Transcribed by Debbie Tamborski, 02 April 2010 |
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