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DEATH
CERTIFICATE
PEARL MORTON
Date: 22 June 1940
Cert: 17475
Place of Death: County: Knott City or Town:
P.O. Cody, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky County:
Letcher
City or Town: Whitesburg
Full Name: Pearl MORTON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 11 September 1911
Age: 28 years, 09 months, 11 days
Birthplace: Knott Co., Ky.
Occupation: Telephone Operator
Industry or business: Bell Telephone Co.
Father Name: John MORTON
Father Birthplace: Ky.
Mother Maiden Name: Martha COLLINS
Mother Birthplace: Ky.
Informant/Address: Cullen J. MORTON (Brother),
Wheelwright, Ky.
Burial Place: Cody, Ky.
Date: 23 June 1940
Signature of funeral director/address: Johnson Funeral Home,
Whitesburg, Ky.
Date received by local registrar: 01 July 1940
Registrar's Signature: Macie Miller
Date of Death: 22 June 1940
I hereby certify that I attended deceased from time to
time, that I last saw him alive on (blank), and that death
occurred on the date stated above at 2:30 p.m.
Immediate cause of death: Pulmonary Tuberculosis (has been ill
for 5 - 6 yrs.)
Duration: yrs.
Other conditions: none
Major findings of operations: (illegible) at
Louisville Of Autopsy: No
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: R. D. Collins, M.D., Whitesburg,
Ky.
Date signed: 22 June 1940
Transcribed by Debbie Tamborski, 28 August 2010 |
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