Date: 30 April 1949
Cert: 14554
Place of Death: County: Knott
City or Town: Rural-Kite, Ky.
Length of stay (in this place): 30 minutes
Street address or Location: At home
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural-Kite, Ky., Knott Co.
If rural give precinct: Head Right Beaver Creek
Full Name: Never Named
Date of Death: 30 April 1949
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth: 30 April 1949
Age: 30 minutes
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Kentucky
Father's Name: Wid JOHNSON
Mother's Maiden Name: Luly HALL
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Both Parents
Cause of Death: Flue
Disease or condition directly leading to death: Influenza in
mother
Interval between onset and death: (blank)
Other significant conditions: (blank)
Date of Operation: None
Major findings of operation: None
Autopsy: No
Accident, suicide, or homicide: No
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 30 April 1949 to
30 April 1949, that I last saw the deceased alive on 30 April
1949, and
that death occurred at 3 p.m., from the causes and on the
date stated above.
Date signed: 30 April 1949
Address: Garrett
Signature: Mark Dempsey, M.D.
Burial, Cremation or Removal: 01 May 1949
Date: 01 May 1949
Name of Cemetery or Crematory: Kite, Ky.
Location: Kite, Knott Co., Ky.
Date received by local registrar: 29 July 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Neighbors, Kite, Ky.
Transcribed by Debbie Tamborski, 05 January 2011 |