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DEATH
CERTIFICATE
SARILDA JONES
Date: 25 March 1949
Cert: 008214
Place of Death: County: Perry County City or Town:
Darfork, Ky.
Length of stay (in this place): (blank)
Name of Hospital or Institution: none
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Darfork Street Address: (blank)
Full Name: Sarilda JONES
Date of Death: 25 March 1949
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: ? 1877 (transcribed as written)
Age: 72 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott County
Father's Name: Dick COMBS
Mother's Maiden Name: Linda MILLER
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Pauline BAILEY
Disease/condition directly leading to death: Coronary
Occlusion
Interval between onset and death: 36 hours
Due to: (blank)
Other significant conditions: Chronic Cholecystitis
Interval between onset and death: 15 years
Major findings of operation: (blank)
Autopsy: No
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 13 April 1949
Address: Hazard, Ky.
Signature: C. R. Faulkner
Burial, Cremation or Removal: Burial
Date: 27 March 1949
Name of Cemetery or Crematory: Engle Cemetery
Location: Dwarf, Ky.
Date received by local registrar: 20 April 1949
Registrar's Signature: Helen Burriss
Funeral director & address: Maggard, Blair & Garrett, W.
H. Garrett
Transcribed by Debbie Tamborski, 12 July 2010 |
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