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DEATH
CERTIFICATE
FLOURA HOPPER
Date 13 July 1940
Cert: 19752
Place of Death: County: Knott Co. City or Town:
Lackey
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Weeksbury, Ky.
Full Name: Floura HOPPER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Ben HOPPER
Age of husband or wife if alive: 53 years
Birth date of deceased: 12 September 1888
Age: 51 years, 10 months, 21 days
Birthplace: Bryants Store, Ky.
Occupation: Domestic
Industry or business: (blank)
Father Name: Easom MCKEEHAN
Father Birthplace: Knox Co.
Mother Maiden Name: Louisa EVENS
Mother Birthplace: Knox Co.
Informant/Address: Ben H. HOPPER, Lackey, Ky.
Burial Place: Prestonsburg, Ky.
Date: 14 July 1940
Signature of funeral director/address: G. D. Ryan,
Martin, Ky.
Date received by local registrar: 19 August 1940
Registrar's Signature: Macie Miller
Date of Death: 13 July 1940
I hereby certify that I attended deceased from 07 July 1940 to
13 July 1940, that I last saw her alive on 13 July 1940, and
that death occurred on the date stated above at 12:30 a.m.
Immediate cause of death: Intra Cranial Hemorrhage
Duration: (blank)
Due to: Paralysis
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 & Address: W. L. Stumbo, M.D., Martin, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 18 August 2010 |
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