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DEATH
CERTIFICATE
LIDA MOORE
Date 02 October 1950
Cert: 26247
Place of Death: County: Perry City or Town:
Hazard
Length of stay in hospital or community:
Name of Hospital or Institution: Mt. Mary Hospital
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Amburgey
Full Name: Lida MOORE
Date of Death: 02 October 1950
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 12 March 1910
Age: 40 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Missouri
Father's Name: Monroe KELLY
Mother's Maiden Name: Julia FRANCE
Was deceased in ever in armed forces: no
Social Security No.: none
Informant: John MOORE
Disease or condition directly leading to death:
Hypertensive heart disease & decompensation
Interval between onset and death: unknown
Due to: (blank)
Other significant conditions: Chronic Nephritis
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: Hazard, Perry, Ky.
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from May 1950 to 01
October 1950, that I
last saw the deceased alive on 01 October 1950, and that death occurred on
the date stated above at 8:20 a.m., from the causes and on the date
stated above.
Date signed: 11 November 1950
Address: Hazard, Kentucky
Signature: Martin Palmer, M.D.
Burial, Cremation or Removal: Burial
Date: 04 October 1950
Name of Cemetery or Creamatory: Combs Cemetery
Location: Smithsboro, Ky.
Date received by local registrar: 17 November 1950
Registrar's Signature: Georgia Pendleton
Funeral director and address: Maggard and Garrett, Hazard, Ky.
Transcribed by Debbie Tamborski, 16 February 2010 |
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