|
DEATH
CERTIFICATE
Mrs. CRICKET MAY
Date: 15 April 1947
Cert: 09618
Place of Death: County: Montgomery City or Town:
Rural
Street No. or Location: Chiles Highway R. R. #1
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Montgomery
City or Town: Rural If rural give
precinct: Sideview
Full Name: Mrs. Cricket MAY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Charlie MAY
Age of husband or wife if alive: (blank)
Birth date of deceased: 18 December 1890
Age: 56 years
Birthplace: Knott Co., Ky.
Occupation: At Home
Industry or business: (blank)
Father Name: Samuel HANDHSOE
Father Birthplace: Ky.
Mother Maiden Name: Rita CONLEY
Mother Birthplace: Ky.
Informant: Charlie MAY, Mt. Sterling, Ky., R. R. #1
Burial Place: Machpelah Cemetery, Mt. Sterling, Ky.
Date: 18 April 1947
Signature of funeral director: Mitchell Funeral
Home, Mt. Sterling, Ky.
Date received by local registrar: 02 May 1947
Registrar's Signature: Elizabeth Nyatt
Date of Death: 15 April 1947
I hereby certify that I attended deceased from 15 April 1947 to
15 April 1947, that I last saw her alive on 15 April 1947, and
that death occurred on the date stated above at 9 p.m.
Immediate cause of death: Myocarditis
Duration: (blank)
Due to: Hypertension
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: (illegible), N. Middleton, Ky.
Date signed: 18 April 1947
Transcribed by Debbie Tamborski, 24 June 2010 |
|