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DEATH
CERTIFICATE
CINDA HOLBROOKS
Date: 20 October 1949
Cert: 23923
Place of Death: County: Pike City or Town:
Island Creek
Length of stay (in this place): (blank)
Name of Hospital or Institution: (rural) Home
Usual Residence of Deceased: State: Ky. County:
Pike
City or Town: Island Creek Street Address: (rural)
Full Name: Cinda HOLBROOKS
Date of Death: 20 October 1949
Sex, Color or Race, Marital Status: Female, White,
Married
Date of Birth: 1905
Age: 44 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott County
Father's Name: Cleveland HOLBROOKS
Mother's Maiden Name: Mary ADAMS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Cleveland HOLBROOKS
Disease or condition directly leading to death:
Pneumonia Lobar
Interval between onset and death: 01 week
Due to: (?Influenza? illegible)
Interval between onset and death: 01 week
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 18 October 1949 to
18 October 1949, that I last saw the deceased alive on 18
October 1949, and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 08 November 1949
Address: Pikeville, Ky.
Signature: (illegible) Doty, M.D.
Burial, Cremation or Removal: Burial
Date: 22 October 1949
Name of Cemetery or Crematory: Sword
Location: Island Creek, Pike, Ky.
Date received by local registrar: 14 November 1949
Registrar's Signature: Emma P. Hatfield
Funeral director & address: J. W. Call & Son,
Pikeville, Ky.
Transcribed by Debbie Tamborski, 12 July 2010 |
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