Date: 27 January 1944
Cert: 18747
Place of Death: County: Knott City or
Town: Dry Creek, Ky.
Street Number or Location: Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky County: Knott
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: (blank)
Birth date of deceased: 10 March 1868
Age: 75 years, 10 months, 17 days
Birthplace: (blank)
Occupation: Housewife
Industry or business: (blank)
Father Name: Jack JOHNSON
Father Birthplace: Ky.
Mother Maiden Name: Rebecca ISAACS
Mother Birthplace: Ky.
Informant: Mrs. Edward ISAACS, Topmost, Ky.
Burial Place: Dry Creek, Ky.
Date: 28 January 1944
Signature of funeral director: George Cook, Dry Creek
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
Date signed: (blank)
Transcribed by Debbie Tamborski, 12 November 2010 |