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DEATH
CERTIFICATE
MARY MAGALINE MULLINS
Date: 07 April 1952
Cert: 08073
Place of Death: County: Lincoln City or Town:
Crab Orchard R. 1
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Lincoln
City or Town: Crab Orchard R. 1 Street Address: (blank)
Full Name: Mary Magaline MULLINS
Date of Death: 07 April 1952
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 24 December 1895
Age: 56 years
Usual Occupation: House wife
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Jessie BATES
Mother's Maiden Name: Hanna CAUDIL
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Willie MULLINS
Disease or condition directly leading to death: Cardio
renal vascular disease
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
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 01 April 1952 to
07 April 1952, that I last saw the deceased alive on 03 April
1952, and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 07 April 1952
Address: Stanford
Signature: (illegible), M.D.
Burial, Cremation or Removal: Burial
Date: 09 April 1952
Name of Cemetery or Crematory: Mullins Cem.
Location: Crab Orchard R. 1, Ky.
Date received by local registrar: 07 April 1952
Registrar's Signature: Gretchen Southard
Funeral director & address: Beazley and Raney,
Stanford, Ky.
Transcribed by Debbie Tamborski, 11 August 2010 |
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