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DEATH
CERTIFICATE
REBECCA MCKINNEY
Date 05 February 1943
Cert: 03360
Place of Death: County: Floyd City or Town:
Wayland
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Wayland
Full Name: Rebecca MCKINNEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of: John MCKINNEY
Age of husband or wife if alive: (blank)
Birth date of deceased: 07 January 1858
Age: 85 years, 29 days
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Goff SPARKMAN
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Susie REYNOLDS
Mother Birthplace: Knott Co., Ky.
Informant: Mrs. Rosa CHAMBERS, Wayland, Ky.
Burial Place: Wayland, Ky.
Date: 06 February 1943
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 27 February 1943
Registrar's Signature: Winifred Norris
Date of Death: 05 February 1943
I hereby certify that I attended deceased from 01 January 1943 to
04 February 1943, that I last saw her alive on (04 February
1943, and that death
occurred on the date stated above at 10:00 a.m.
Immediate cause of death: Lobar pneumonia
Duration: (blank)
Due to: Cardio vascular
Other conditions: Senility
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: M. V. Wicker, M.D., Wayland, Ky.
Date signed: 24 February 1943
Transcribed by Debbie Tamborski, 31 May 2010 |
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