Date: 07 January 1944
Cert: 12997
Place of Death: County: Knott City or
Town: Amburgey
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: Amburgey
Full Name: Ophelia MULLINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Infant
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 07 January 1944
Age: 30 minutes
Birthplace: Amburgey, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Orville MULLINS
Father Birthplace: Irshman, Ky.
Mother Maiden Name: Maggie MULLINS
Mother Birthplace: Cincinnati
Informant: Maggie MULLINS, Amburgey, Ky.
Burial Place: Franklin Cem.
Date: 08 January 1944
Signature of funeral director: Family, Amburgey, Ky.
Date received by local registrar: 24 March 1945
Registrar's Signature: Rose B. Craft
Acting Registrar Per B. Carns
Date of Death: 07 January 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Strangulation in amniotic
fluid. Several attempts to breathe but lungs too full of
fluid for baby to live.
Duration: (blank)
Due to: (blank)
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 & Address: J. R. Aker, M.D., Anco, Ky.
Date signed: 23 March 194(illegible)
Transcribed by Debbie Tamborski, 29 November 2010 |