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DEATH
CERTIFICATE
ELIZABETH MILLER
Date 03 October 1943
Cert: 22917
Place of Death: County: Lincoln City or Town:
Eubank, Ky.
Street No. or Location: (blank)
Length of stay in hospital or community: 21 years
Usual Residence of Deceased: State: Ky. County:
Lincoln
City or Town: Rural If rural/precinct:
Waynesburg, Ky., R. #3
Full Name: Elizabeth MILLER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Johnnie A. MILLER
Age of husband or wife if alive: 64 years
Birth date of deceased: 11 May 1879
Age: 64 years, 04 months, 22 days
Birthplace: Hindman, Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: Wiley PARKS
Father Birthplace: Grayson Co., Va.
Mother Maiden Name: Vena DRAUGHN
Mother Birthplace: Charleston, N. Car.
Informant: Lawrence MILLER, 1535 Durrett
Lane, Louisville, Ky.
Burial Place: Clear Fork
Date: 04 October 1943
Signature of funeral director: J. M. Reynolds, Waynesburg, Ky.
Date received by local registrar: 07 October 1943
Registrar's Signature: Gretchen Southard
Date of Death: 03 October 1943
I hereby certify that I attended deceased from 20 September
1943 to
03 October 1943, that I last saw him alive on 03 October 1943,
and that death occurred on the date stated above at 1:30 p.m.
Immediate cause of death: Senility Hypertension
Duration: (blank)
Due to: 1. Paralysis agitane 2. avitaminosis
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: G. B. Williams, M.D., Eubank,
Ky.
Date signed: 04 October 1943
Transcribed by Debbie Tamborski, 31 May 2010 |
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