|
DEATH
CERTIFICATE
MARY KISER
Date: 26 July 1952
Cert: 17340
Place of Death: County: Letcher City or Town:
Seco, Ky.
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: Millstone Street Address: (blank)
Full Name: Mary KISER
Date of Death: 26 July 1952
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 20 May 1904
Age: 48 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Miles WEBB
Mother's Maiden Name: Minerva POTTER
Was deceased ever in armed forces: no
Social Security No.: none
Informant: Elzie KISER, husband
Disease/condition directly leading to death: Coronary
Occlusion
Interval between onset and death: Sudden
Due to (b): unknown
Due to (c): Only saw patient at time of death
Date of Operation: (blank)
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 26 July 1952 to
26 July 1952, that I last saw the deceased alive on 26 July
1952, and
that death occurred at 5 p.m., from the causes and on the
date stated above.
Date signed: 29 July 1952
Address: Seco, Ky.
Signature: (illegible), M.D.
Burial, Cremation or Removal: Burial
Date: 03 August 1952
Name of Cemetery or Crematory: Kiser Cemetery
Location: Whitesburg, Ky.
Date received by local registrar: 05 August 1952
Registrar's Signature: G. W. Collins
Funeral director & address: Archie Craft,
Whitesburg, Ky.
Transcribed by Debbie Tamborski, 11 August 2010 |
|