Date: 11 June 1949
Cert: 12355
Place of Death: County: Knott
City or Town: Ivis, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Ivis Rural Street Address:
(blank)
Full Name: Mrs. Zella BALDRIDGE LAWSON
Date of Death: 11 June 1949
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 02 February 1875
Age: 74 years
Usual Occupation: House wife
Kind of Industry or business: House keeping
Birthplace: Knott Co., Ky.
Father's Name: Charley BALDRIDGE
Mother's Maiden Name: Amy MORRIS
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Alex LAWSON
Disease/condition directly leading to death: Disease of
the heart
Interval between onset and death: (blank)
Due to: Influenza and Senility
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 01 May 1949 to
11 June 1949, that I last saw the deceased alive on 10 June
1949, and
that death occurred at 8 p.m., from the causes and on the
date stated above.
Date signed: 14 June 1949
Address: Hindman, Ky.
Signature: M. F. Kelley, M.D.
Burial, Cremation or Removal: Burial
Date: 13 June 1949
Name of Cemetery or Crematory: Garrett
Location: Garrett, Knott Co., Ky.
Date received by local registrar: 14 June 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: None, Friends, Ivis, Ky.
Transcribed by Debbie Tamborski, 05 January 2011 |