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DEATH
CERTIFICATE
MARIE HELTON
Date 06 May 1948
Cert: 11834
Place of Death: County: Fayette City or
Town: Lexington
Name of Hospital or Institution: 639 West Main St.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Wheelwright
Full Name: Marie HELTON
If Veteran Name War: No
Social Security No.: No
Sex, Color or Race, Marital Status: Female, White,
Divorced
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 03 April 1917
Age: 31 years, 01 months, 03 days
Birthplace: McRoberts, Ky.
Occupation: At Home
Industry or business: (blank)
Father Name: Jno. W. HELTON
Father Birthplace: Greenwood, Ky.
Mother Maiden Name: Maude MCKEE
Mother Birthplace: Sloans Valley, Ky.
Informant: Mrs. Pearl DAY, Lexington, Ky.
Burial Place: Prestonsburg, Ky.
Date: 07 May 1948
Signature of funeral director: Kerr Bros., Lexington,
Ky.
Date received by local registrar: 04 June 1948
Registrar's Signature: D. A. Furlong
Date of Death: 06 May 1948
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: (blank)
Due to: acute myocarditis
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: J. H. Kerr, Coroner, Lexington, Ky.
Date signed: 29 May 1948
Transcribed by Debbie Tamborski, 14 February 2010 |
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