Date: 10 October 1942
Cert: 11734
Place of Death: County: Knott City or
Town: (blank)
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: (blank)
Full Name: Delah MESSER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Karew MESSER
Age of husband or wife if alive: 32 years
Birth date of deceased: 10 October 1912
Age: 29 years, 06 months, 10 days
Birthplace: Breathitt Co., Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: Alfred MARSHELL
Father Birthplace: Breathitt Co., Ky.
Mother Maiden Name: (illegible) LOVINS
Mother Birthplace: Breathitt Co., Ky.
Informant: Karew MESSER, Hindman
Burial Place: (illegible)
Date: 10 October 1942
Signature of funeral director: (blank), Hindman, Ky.
Date received by local registrar: 20 May 1943
Registrar's Signature: Ida Livingston
Date of Death: 10 October 1942
I hereby certify that I attended deceased from 10 October 1942 to
01 October 1942, that I last saw her alive on 01 October 1942, and that death
occurred on the date stated above at 7 a.m.
Immediate cause of death: Tuberculosis of the lungs
Duration: (blank)
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: M. F. Kelley, M.D., Hindman
Date signed: 26 January 1943
Transcribed by Debbie Tamborski, 17 October 2010 |