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DEATH
CERTIFICATE
GEO WASHINGTON KELLY
Date 13 September 1938
Cert: 23296
Place of Death: Voting Pct.: Normandy, Spencer Co., Ky.
Full Name: Geo Washington KELLY
Residence: Taylorsville, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: (blank)
Date of Birth: 01 August 1873
Age: 65 years, 01 months, 12 days
Occupation: Farmer
Birthplace: Knott Co., Ky.
Father Name: Thomas KELLY
Birthplace Father: Kentucky
Mother Maiden Name: Minerva YOUNG
Birthplace Mother: Kentucky
Informant/Address: Mrs. G. W. KELLY, Taylorsville, Ky.
Burial Cremation Removal Place: Elk Creek
Date: 15 September 1938
Undertaker/Address: Foreman, Gunell Co., Taylorsville,
Ky.
Filed: 14 September 1938
Registrar: Ruth (illegible)
Death of Date: 13 September 1938
I hereby certify, That I attended deceased from 18 August 1938 to
13 September 1938, that I last saw him alive on 13 September
1938, death is said to have occurred on the date stated above,
at 4 a.m.
Cause of Death: Parrsis
Date of onset: 15 January 1937
Contributory causes: (blank)
What test confirmed diagnosis: (illegible)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: no
Signed/Address: Allen D. WALKER, M.D. Taylorsville, Ky.
Transcribed by Debbie Tamborski, 30 April 2010 |
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