Date: 22 July 1949
Cert: 16793
Place of Death: County: Knott
City or Town: Kite, Ky.
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Kite, Ky. Street Address:
(blank)
Full Name: Lula (illegible) KING
Date of Death: 22 July 1949
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth: 09 September 1905
Age: 43 years, 10 months, 13 days
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Kite, Ky.
Father's Name: James KING
Mother's Maiden Name: Drucillar AMBURGY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: (blank)
Disease or condition directly leading to death: (blank)
Interval between onset and death: (blank)
Due to: Heart Failure
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (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 (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: 31 August 1949
Address: Hindman, Ky.
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date: 24 July 1949
Name of Cemetery or Crematory: Family
Location: Kite, Ky.
Date received by local registrar: 31 August 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: John C. Hall, Martin,
Ky.
Transcribed by Debbie Tamborski, 05 January 2011 |