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DEATH
CERTIFICATE
MARY EDNA MORRIS
Date: 06 March 1953
Cert: 04892
Place of Death: County: Fayette City or Town:
Lexington
Length of stay (in this place): 01
Name of Hospital or Institution: Good Samaritan Hosp.
Usual Residence of Deceased: State: Ky. County:
Breathitt
City or Town: Little Street Address: (blank)
Full Name: Mary Edna MORRIS
Date of Death: 06 March 1953
Sex, Color or Race, Marital Status: Female, White, Single
Date of Birth: 19 June 1949
Age: 03 years
Usual Occupation: At Home
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: William MORRIS
Mother's Maiden Name: Georgia HOLLAN
Was deceased ever in armed forces: no
Social Security No.: (blank)
Informant: Mrs. Georgia NAPIER
Disease or condition directly leading to death: Burn 3rd
degree Thermal
Interval between onset and death: 10 February
1953 to 06 March 1953
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: 25 February & 05 March 1953
Major findings of operation: as above (Burn Dressing)
Autopsy: no
Accident, suicide, or homicide: accident
Place of injury: home
City or Town, County, State: Little, Breathitt, Ky.
Time of Injury: 10 February 1953
Injury occurred at work: Not while at work
How did injury occur: Dress caught fire
I hereby certify that I attended deceased from 10 February
1953 to
06 March 1953, that I last saw the deceased alive on 06 March
1953, and
that death occurred at 11:00 a.m., from the causes and on the
date stated above.
Date signed: 19 March
Address: 108 E. (illegible)
Signature: (illegible) N. Moore, M.D.
Burial, Cremation or Removal: Removal
Date: 07 March 1953
Name of Cemetery or Crematory: (blank)
Location: Little, Ky.
Date received by local registrar: 23 March 1953
Registrar's Signature: D. A. Furlong
Funeral director & address: Kerr Bros., Lexington,
Ky.
Transcribed by Debbie Tamborski, 13 August 2010 |
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