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DEATH
CERTIFICATE
RACHEL HOWARD
Date 27 December 1940
Cert: 29245
Place of Death: County: Knott Co. City or Town:
Hindman
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Hindman
Full Name: Rachel HOWARD
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Henry HOWARD
Age of husband or wife if alive: 69 years
Birth date of deceased: 17 July 1898
Age: 42 years, 07 months, 11 days
Birthplace: Knott Co.
Occupation: Housewife
Industry or business: (blank)
Father Name: Joe HALL
Father Birthplace: Ky.
Mother Maiden Name: Sarah RICHIE
Mother Birthplace: Ky.
Informant/Address: Henry HOWARD, Hindman, Ky.
Burial Place: Ritchie, Ky.
Date: 28 December 1940
Signature of funeral director/address: (blank)
Date received by local registrar: 30 December 1940
Registrar's Signature: Macie Miller
Date of Death: 27 December 1940
I hereby certify that I attended deceased from 06 January 1940 to
27 December 1940, that I last saw her alive on 26 December
1940, and that death
occurred on the date stated above at 7 p.m
Immediate cause of death: Malignant sarcoma of the
breast
Duration: (blank)
Due to: (blank)
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: M. F. Kelley, Hindman, Ky.
Date signed: 30 December 1940
Transcribed by Debbie Tamborski, 18 August 2010 |
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