Date: 08 February 1944
Cert: 13029
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Hueysville
Full Name: Sarah Ann HOWARD
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Jack HOWARD
Age of husband or wife if alive: (blank)
Birth date of deceased: 10 January 1891
Age: 53 years, 00 months, 28 days
Birthplace: Magoffin Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Fair SHEPARD
Father Birthplace: Magoffin Co., Ky.
Mother Maiden Name: Raney HOWARD
Mother Birthplace: Magoffin Co., Ky.
Informant: Willy SHEPHARD, Hueysville, Ky.
Burial Place: Hippo, Ky.
Date: 10 February 1944
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 20 March 1945
Registrar's Signature: Rose B. Craft, Acting, Per B.
Carns
Date of Death: 08 February 1944
I hereby certify that I attended deceased from 29 January 1944 to
08 February 1944, that I last saw him alive on 08 February
1944, and that death
occurred on the date stated above at 11 p.m.
Immediate cause of death: 3rd degree burn
Duration: (blank)
Due to: (illegible) the body
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: A. R. Hodge, M.D., Lackey, Ky.
Date signed: 19 March 1945
Transcribed by Debbie Tamborski, 13 November 2010 |