Date: 17 February 1948
Cert: 03516
Place of Death: County: Knott City or
Town: Emmalena, Ky. Rural
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: Emmalena Rural
Full Name: Mrs. Polly NAPIER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Andrew NAPIER
Age of husband or wife if alive: 78 years
Birth date of deceased: 12 August 1880
Age: 67 years, 06 months, 05 days
Birthplace: Vest, Ky.
Occupation: House keeping
Industry or business: (blank)
Father Name: Tom TERRY
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Sylvania PATRICK
Mother Birthplace: Knott Co., Ky.
Informant: Andrew NAPIER, Emmalena, Ky.
Burial Place: Noble-Breathitt Co., Ky.
Date: 18 February 1948
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 26 February 1948
Registrar's Signature: Rose B. Craft
Date of Death: 17 February 1948
I hereby certify that I attended deceased for the last several
years of her life, that I last saw him alive on (blank), and
that death occurred on the date stated above at 4:15 a.m.
Immediate cause of death: Pulmonary Tuberculosis
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. W. Duke, M.D., Hindman, Ky.
Date signed: 26 February 1948
Transcribed by Debbie Tamborski, 28 December 2010 |