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DEATH
CERTIFICATE
OTIS MORRISON
Date 27 May 1949
Cert: 10503
Place of Death: County: Perry City or Town:
Hazard
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: Mt. Mary Hospital
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Anco, Ky. Street
Address: None
Full Name: Otis MORRISON
Date of Death: 27 May 1949
Sex, Color or Race, Marital Status: Male, Colored, Married
Date of Birth: 09 September 1909
Age: 39 years
Usual Occupation: Miner
Kind of Industry or business: Mines
Birthplace: Elberton, Ga.
Father's Name: Nathan MORRISON
Mother's Maiden Name: Mary Francis RUCKER
Was deceased in ever in armed forces: No
Social Security No.: None
Informant: Mrs. Otis MORRISON
Disease/condition directly leading to death: Cerebral
thrombosis
Interval between onset and death: (blank)
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 (blank) to
(blank), that I
last saw the deceased alive on (blank), and that death occurred on
the date stated above at (blank), from the causes and on the date
stated above.
Date signed: 08 June 1949
Address: Hazard, Ky.
Signature: W. O'Donnell, M.D.
Burial, Cremation or Removal: Burial
Date: 30 May 1949
Name of Cemetery or Creamatory: Englewood Cemetery
Location: Hazard, Ky.
Date received by local registrar: 06 June 1949
Registrar's Signature: Helen C. Burriss
Funeral director and address: Maggard & Garrett, Hazard,
Ky.
Transcribed by Debbie Tamborski, 15 February 2010 |
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