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DEATH
CERTIFICATE
Mrs. LUCY MARCUM
Date 06 October 1944
Cert: 28211
Place of Death: County: Perry City or
Town: Hazard
Name of Hospital or Institution: Hazard Hosp. Co.
Length of stay in hospital or community:
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Fisty
Full Name: Mrs. Lucy MARCUM
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Lee MARCUM
Age of husband or wife if alive: (blank)
Birth date of deceased: 12 October 1890
Age: 54 years, 11 months
Birthplace: Owsley Co.
Occupation: House wife
Industry or business: Own home
Father Name: ? BAKER
Father Birthplace: Do not know
Mother Maiden Name: Sarah BOWLING
Mother Birthplace: Do not know
Informant: Jeff MORRIS, Walkertown, Ky.
Burial Place: (blank)
Date: (blank)
Signature of funeral director: none
Date received by local registrar: 01 December 1944
Registrar's Signature: (blank)
Date of Death: 06 October 1944
I hereby certify that I attended deceased from 02 October 1944 to
06 October 1944, that I
last saw him alive on 06 October 1944, and that death occurred on the date
stated above at 9:15 p.m.
Immediate cause of death: (illegible) appendicitis
Due to: Ruptured appendix
Major findings of operations: Ruptured appendix & peritonitis
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: Chris S. Jackson, M.D., Hazard, Ky.
Date signed: 09 October 1944
Transcribed by Debbie Tamborski, 08 February 2010 |
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