Date: 27 January 1944
Cert: 16577
Place of Death: County: Knott City or
Town: Dry Creek, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky County: (blank)
City or Town: Dry Creek, Ky.
Rural
Full Name: Eloisa ISAACS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Ruben ISAACS
Age of husband or wife if alive: Dead
Birth date of deceased: 06 March 1868
Age: 76 years, 03 months, 05 days
Birthplace: Halo, Kentucky
Occupation: Farming
Industry or business: (blank)
Father Name: Jack JOHNSON
Father Birthplace: unknown
Mother Maiden Name: Rebecca ISAACS
Mother Birthplace: unknown
Informant: Liza HALL, Dry Creek, Ky.
Burial Place: Dry Creek
Date: 28 January 194
Signature of funeral director: George Cook, Dry Creek,
Ky.
Date received by local registrar: 15 July 1944
Registrar's Signature: Ida Livingston
Date of Death: 27 January 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Cancer of nose - Spread to
other parts of face
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: J. W. Duke, M.D., Hindman, Ky.
Date signed: 15 July 1944
Transcribed by Debbie Tamborski, 12 November 2010 |