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DEATH
CERTIFICATE
ADLINE MULLINS
Date: 27 February 1951
Cert: 06278
Place of Death: County: Wolfe City or Town:
Rural Malaga
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Wolfe
City or Town: Rural Malaga Street Address: (blank)
Full Name: Adline MULLINS
Date of Death: 27 February 1951
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 28 July 1876
Age: 74 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Knott Co., Ky.
Father's Name: William GREEN
Mother's Maiden Name: Martha HODGE
Was deceased ever in armed forces: Yes
Social Security No.: (blank)
Informant: Mrs. Roy ROSE
Disease or condition directly leading to death:
Pneumonia
Interval between onset and death: (blank)
Due to: Senility
Other significant conditions: Degenerative heart disease
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
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 27 February
1951 to
27 February 1951, that I last saw the deceased alive on 27
February 1951, and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 05 March 1951
Address: Jackson, Ky.
Signature: F. C. Lewis, M.D.
Burial, Cremation or Removal: Burial
Date: 01 March 1951
Name of Cemetery or Crematory: Cornett
Location: Knott Co., Ky.
Date received by local registrar: 08 March 1951
Registrar's Signature: Irene Spencer
Funeral director & address: S. D. Kearne, Stanton,
Ky.
Transcribed by Debbie Tamborski, 30 July 2010 |
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