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DEATH
CERTIFICATE
RACHELL HOOVER
Date 12 December 1937
Cert: 16754
Place of Death: Voting Pct.: #24, Garrett, Floyd Co.,
Ky.
Full Name: Rachell HOOVER
Residence: Garrett, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Maynard HOOVER
Date of Birth: (blank)
Age: 38 years
Occupation: Domestic
Birthplace: Knott Co., Ky.
Father Name: John WICKER
Birthplace Father: Knott Co., Ky.
Mother Maiden Name: Artie TRIPLETT
Birthplace Mother: Knott Co., Ky.
Informant/Address: Maynard HOOVER, Garrett, Ky.
Burial Cremation Removal Place: Hoover, Ky.
Date: 14 December 1937
Undertaker/Address: G. D. Ryan, Martin, Ky.
Filed: 04 August 1938
Registrar: G. S. Howard Per B. Carns
Death of Date: 12 December 1937
I hereby certify, That I attended deceased from 10 November
1937 to
12 December 1937, that I last saw her alive on 12 December
1937, death is said to have occurred on the date stated above,
at 5 a.m.
Cause of Death: Acute Dilation
Date of onset: (blank)
Contributory causes: Myocarditis
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: T. J. Chandler, M.D., Lackey, Ky.
Transcribed by Debbie Tamborski, 21 April 2010 |
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