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DEATH
CERTIFICATE
LAURA B. MULLINS
Date 11 August 1943
Cert: 18574
Place of Death: County: Letcher City or
Town: Jackhorn
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Puncheon
Full Name: Laura B. MULLINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Elex MULLINS
Age of husband or wife if alive: 74 years
Birth date of deceased: 16 June 1894
Age: 49 years, 01 months, 25 days
Birthplace: Puncheon, Ky.
Occupation: Housewife
Industry or business: Own Home
Father Name: Harrison HALL
Father Birthplace: Puncheon, Ky.
Mother Maiden Name: Elizabeth BATES
Mother Birthplace: Dry Creek, Ky.
Informant: Ercel MULLINS (son), Puncheon, Ky.
Burial Place: Puncheon, Ky.
Date: 12 August 1943
Signature of funeral director: Johnson Funeral Home, Neon, Ky.
Date received by local registrar: 12 August 1943
Registrar's Signature: E. M. Collins
Date of Death: 11 August 1943
I hereby certify that I attended deceased from April 1943 to
10 August 1943, that I
last saw her alive on 10 August 1943, and that death occurred on the date
stated above at 5:30 a.m.
Immediate cause of death: Myocardial failure
Due to: Myocarditis & (illegible) hypertension
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: E. G. Skaggs, Fleming, Ky.
Date signed: 12 August 1943
Transcribed by Debbie Tamborski, 06 February 2010 |
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