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DEATH
CERTIFICATE
SARAH ELLEN MEADE
Date: 20 April 1947
Cert: 09343
Place of Death: County: Letcher City or Town:
Millstone (Rural)
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Letcher
City or Town: Millstone (Rural)
Full Name: Sarah Ellen MEADE
If Veteran Name War: No
Social Security No.: None
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 14 August 1864
Age: 78 years, 08 months, 05 days
Birthplace: Pine Top, Kentucky
Occupation: At Home
Industry or business: "
Father Name: R. B. SMITH
Father Birthplace: Virginia
Mother Maiden Name: Barbarra HILTON
Mother Birthplace: Virginia
Informant: General MEADE, Millstone, Kentucky
Burial Place: Meade Cemetery
Date: 22 April 1947
Signature funeral director: Evans Funeral Home, Whitesburg,
Ky.
Date received by local registrar: 24 April 1947
Registrar's Signature: E. M. Collins
Date of Death: 20 April 1947
I hereby certify that I attended deceased from (blank) to
20 April 1947, that I last saw him alive on (blank), and that
death occurred on the date stated above at 4 p.m.
Immediate cause of death: hypertensive heart disease
Duration: 02 years
Due to: (blank)
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: Carl Pigman, M.D., Whitesburg,
Ky.
Date signed: 22 April 1947
Transcribed by Debbie Tamborski, 24 June 2010 |
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