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DEATH
CERTIFICATE
LOU ANN MARSHALL
Date: 04 February 1947
Cert: 15233
Place of Death: County: Floyd City or Town:
Prestonsburg
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Water Gap
Full Name: Lou Ann MARSHALL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: John MARSHALL
Age of husband or wife if alive: 80 years
Birth date of deceased: 24 March 1873
Age: 74 years
Birthplace: Knott Co., Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: Tomes CALHOUN
Father Birthplace: (blank)
Mother Maiden Name: MUSIC
Mother Birthplace: (blank)
Informant: John MARSHALL, Water Gap
Burial Place: Water Gap
Date: 06 February 1947
Signature of funeral director: E. P. Arnold, Prestonsburg, Ky.
Date received by local registrar: 08 July 1947
Registrar's Signature: Lucy Ransdell
Date of Death: 04 February 1947
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 10 p.m.
Immediate cause of death: (blank)
Duration: (blank)
Due to: Brights Disease
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: O. T. Stephens, M.D.,
Prestonsburg
Date signed: 01 July 1947
Transcribed by Debbie Tamborski, 24 June 2010 |
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