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DEATH
CERTIFICATE
FLOYD MORRIS
Date 23 March 1933
Cert: 30102
Place of Death: Voting Pct.: Bloomington #5, Magoffin
Co., Ky.
Full Name: Floyd MORRIS
Residence: Bloomington, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Susan Ann WICKER MORRIS
Date of Birth: 16 April 1863
Age: 69 years, 11 months, 07 days
Occupation: Farmer
Birthplace: Knott Co., Ky.
Father Name: Ezekiel MORRIS
Birthplace Father: Knott Co., Ky.
Mother Maiden Name: Sallie TRIPLETT
Birthplace Mother: Knott Co., Ky.
Informant/Address: Mrs. S. A. MORRIS, Bloomington, Ky.
Burial Cremation Removal Place: (blank)
Date: 24 March 1933
Undertaker/Address: Patrick & Prater furnished casket,
Salyersville, Ky.
Filed: 06 December 1933
Registrar: Mrs. Rosa Brown per B. Carns
Death of Date: 23 March 1933
I hereby certify, That I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), death is said
to have occurred on the date stated above, at (blank)
Cause of Death: Dr. N. C. said that this man probably
died from chronic nephritis and chronic valvular heart
disease. Family states that cause of
death was kidney & heart disease.
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: No doctor
Transcribed by Debbie Tamborski, 02 April 2010 |
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