Date: 16 February 1942
Cert: 07070
Place of Death: Voting Pct.: Sassafras, Knott Co., Ky.
Full Name: Katie HARRIS HOOKER
Residence: (blank)
Length of Residence: (blank)
Sex, Color or Race, Marital Status Female, White, Widow
Husband or Wife of: (blank)
Date of Birth: 15 November 1877
Age: 64 years, 03 months, 01 days
Occupation: Housekeeper
Birthplace: Clay Co., Ky.
Father Name: Allen HARRIS
Birthplace Father: Clay Co., Ky.
Mother Maiden Name: Nannie MILLER
Birthplace Mother: Clay Co., Ky.
Informant/Address: Mrs. Sophie JONES, Sassafras, Ky.
Burial Cremation Removal Place: Clay Co.
Date: 18 February 1942
Undertaker/Address: L. C. Britton, Hazard, Ky.
Filed: 06 March 1942
Registrar: Ida Livingston
Death of Date: 16 February 1942
I hereby certify, That I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), death is said
to have occurred on the date stated above, at 2:30 p.m.
Cause of Death: Senility -- Old age
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: J. R. Aker, M.D., Anco, Ky.
Transcribed by Debbie Tamborski, 17 October 2010 |