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DEATH
CERTIFICATE
ALICE JONES
Date 22 January 1949
Cert: 00437
Place of Death: County: Fayette City or Town: Lexington,
Ky.
Length of stay in hospital or community: 02 mos., 29 days
Name of Hospital or Institution: Eastern State Hospital
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Ivis
Full Name: Alice JONES
Date of Death: 22 January 1949
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 17 April 1873
Age: 75 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Hindman, Kentucky
Father's Name: J. M. PIGMAN
Mother's Maiden Name: Nancy SMITH
Was deceased in ever in armed forces: unknown
Social Security No.: (blank)
Informant: Hospital Records
Disease or condition directly leading to death:
arteriosclerotic heart disease
Interval between onset and death: long
Due to: Generalized arteriosclerosis
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
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 23 October 1948 to
22 January 1949, that I
last saw the deceased alive on 22 January 1949, and that death occurred on
the date stated above at 9:40 a.m., from the causes and on the date
stated above.
Date signed: 22 January 1949
Address: Eastern State Hospital
Signature: Oreena F. Knepper, M.D.
Burial, Cremation or Removal: (blank)
Date: 24 January 1949
Name of Cemetery or Creamatory: Hazard
Location: Hazard
Date received by local registrar: 31 January 1949
Registrar's Signature: D. A. Furlong
Funeral director and address: Kerr Bros., Lex., Ky.
Transcribed by Debbie Tamborski, 15 February 2010 |
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