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DEATH
CERTIFICATE
DORA HUTER
Date: 18 May 1950
Cert: 08892
Place of Death: County: Boyle City or Town:
Danville
Length of stay (in this place): 14 months
Name of Hospital or Institution: Kentucky State Hospital
Usual Residence of Deceased: State: Kentucky County:
Pulaski
City or Town: Omega Street Address: (blank)
Full Name: Dora HUTER
Date of Death: 18 May 1950
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 24 November 1895
Age: 54 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott County, Ky.
Father's Name: unknown (deceased)
Mother's Maiden Name: unknown (deceased)
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Records, Ky. State Hospital
Disease or condition directly leading to death: Cachexia
Interval between onset and death: 08 months
Due to: General Paresis (Cas. syphilis)
Interval between onset and death: unknown
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 01 October 1949 to
18 May 1950, that I last saw the deceased alive on 18 May 1950, and
that death occurred at 6:30 p.m., from the causes and on the
date stated above.
Date signed: 18 May 1950
Address: Ky. State Hosp., Danville, Ky.
Signature: Robert L. Shuffett, M.D.
Burial, Cremation or Removal: Burial
Date: (blank)
Name of Cemetery or Crematory: Omega
Location: Pulaski Co., Ky.
Date received by local registrar: 31 May 1950
Registrar's Signature: Jessie Guthrie
Funeral director & address: Somerset Undertaking
Co., Somerset, Ky.
Transcribed by Debbie Tamborski, 15 July 2010 |
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