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DEATH
CERTIFICATE
LOLA M. ISAACS
Date: 30 March 1945
Cert: 05379
Place of Death: County: Floyd City or Town:
Martin
Hospital or Institution: Beaver Valley Hospital
Length of stay in hospital or community:
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Hall
Full Name: Lola M. ISAACS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 13 October 1938
Age: 06 years, 05 months, 17 days
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Malen ISAACS
Father Birthplace: Floyd Co., Ky.
Mother Maiden Name: Cora JOHNSON
Mother Birthplace: Floyd Co., Ky.
Informant: Malen ISAACS, Hall, Ky.
Burial Place: Hall, Ky.
Date: 31 March 1945
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 02 April 1945
Registrar's Signature: Lucy Ramsdell
Date of Death: 30 March 1945
I hereby certify that I attended deceased from 28 March 1945 to
30 March 1945, that I last saw him alive on 30 March 1945, and
that death occurred on the date stated above at 11:00 a.m.
Immediate cause of death:
Meningococci
mengitis
Duration: (blank)
Due to: Flu
Other conditions: Flue
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. M. Hodge, M.D., Martin, Ky.
Date signed: 30 March 1945
Transcribed by Debbie Tamborski, 05 June 2010 |
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