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DEATH
CERTIFICATE
SUSAN FITZPATRICK MESSER
Date: 22 July 1953
Cert: 13641
Place of Death: County: Boyd City or Town:
Ashland
Length of stay (in this place): 02 days
Name of Hospital or Institution: Kings Daughters
Usual Residence of Deceased: State: Kentucky County:
Boyd
City or Town: Ashland Street
Address: 2933 Forgey Street
Full Name: Susan FITZPATRICK MESSER
Date of Death: 22 July 1953
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 03 May 1876
Age: 77 years
Usual Occupation: Domestic
Kind of Industry or business: Home
Birthplace: Knott Co., Kentucky
Father's Name: Henderson FITZPATRICK
Mother's Maiden Name: Elizabeth HOWARD
Was deceased ever in armed forces: no
Social Security No.: (blank)
Informant: Mrs. William COPLEY (Daughter)
Disease/condition directly leading to death: Coronary
Occlusion
Interval between onset and death: (blank)
Due to (b): Hypertension
Due to (c): Arteriosclerosis
Other significant conditions: Diabetes Mellitus
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 31 December
1951 to
22 July 1953, that I last saw the deceased alive on 22 July
1953, and
that death occurred at 7:25 a.m., from the causes and on the
date stated above.
Date signed: 24 July 1953
Address: 416 Kitchen Bldg., Ashland, Ky.
Signature: F. W. (illegible), M.D.
Burial, Cremation or Removal: Burial
Date: 24 July 1953
Name of Cemetery or Crematory: Rose Hill Burial Park
Location: Ashland, Kentucky
Date received by local registrar: 31 July 1953
Registrar's Signature: Mrs. C. P. Garten
Funeral director & address: John Steen, Ashland, Ky.
Transcribed by Debbie Tamborski, 13 August 2010 |
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