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DEATH
CERTIFICATE
GEORGE MOORE
Date 14 March 1950
Cert: 04421
Place of Death: County: Fayette City or Town: Lexington, Ky.
Length of stay in hospital or community: 26 years, 28 days
Name of Hospital or Institution: Eastern State Hospital
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Unknown
Full Name: George MOORE
Date of Death: 14 March 1950
Sex, Color or Race, Marital Status: Male, White, Never married
Date of Birth: 1898
Age: 52 years
Usual Occupation: unknown
Kind of Industry or business: (blank)
Birthplace: unknown
Father's Name: Coon MOORE
Mother's Maiden Name: Druce------
Was deceased in ever in armed forces: unknown
Social Security No.: (blank)
Informant: Hospital Records
Disease or condition directly leading to death:
Arteriosclerotic Heart Disease
Interval between onset and death: unknown
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (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 13 February
1947 to 14 March 1950, that I
last saw the deceased alive on 14 March 1950, and that death occurred on
the date stated above at 5:55 a.m., from the causes and on the date
stated above.
Date signed: 14 March 1950
Address: E.S.H.
Signature: L. P. Gibbs, M.D.
Burial, Cremation or Removal: Removal
Date: 14 March 1950
Name of Cemetery or Creamatory: Hindman, Ky.
Location: (blank)
Date received by local registrar: 28 March 1950
Registrar's Signature: D. A. Furlong
Funeral director/address: Lowe F. Home by
Merritt Martin, Lex., Ky.
Transcribed by Debbie Tamborski, 16 February 2010 |
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