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DEATH
CERTIFICATE
Mrs. MILLIE MAGGARD
Date 19 January 1937
Cert: 02102
Place of Death: Voting Pct.: Sandlick, Letcher Co., Ky.
Full Name: Mrs. Millie MAGGARD
Residence: Marlow (Whitesburg, Ky.)
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Sam MAGGARD
Date of Birth: 1872
Age: 65 years
Occupation: Housekeeper
Birthplace: Knott Co., Ky.
Father Name: E. M. KINSER
Birthplace Father: Kentucky
Mother Maiden Name: Millie FRANKLIN
Birthplace Mother: Kentucky
Informant/Address: Mrs. Della ABEL, Marlow P.O. Ky.
(Whitesburg, Ky.)
Burial Cremation Removal Place: Burial - Combs Cemetery
Date: 21 January 1937
Undertaker/Address: Johnson Funeral Home, Whitesburg,
Ky.
Filed: 22 January 1937
Registrar: Edith M. Collins
Death of Date: 19 January 1937
I hereby certify, That I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), death is said
to have occurred on the date stated above, at 4 p.m.
Cause of Death: Pulmonary tuberculosis
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: no Was there an
autopsy: No
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: None
Related to occupation: (blank)
Signed/Address: T. R. Collier, M.D., Whitesburg, Ky.
Transcribed by Debbie Tamborski, 21 April 2010 |
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