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DEATH
CERTIFICATE
Mrs. EVA NEWMAN
Date: 07 November 1943
Cert: 25494
Place of Death: County: Pike City or Town:
Pikeville
Hospital or Institution: M. E. Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Pike
City or Town: Pikeville
Full Name: Mrs. Eva NEWMAN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Edward NEWMAN
Age of husband or wife if alive: 32 years
Birth date of deceased: 24 May 1909
Age: 34 years, 05 months, 14 days
Birthplace: Kite, Knott Co., Ky.
Occupation: Housewife
Industry or business: Home
Father Name: Robert MARTIN
Father Birthplace: Ky.
Mother Maiden Name: Mary HALL
Mother Birthplace: Ky.
Informant: Edward NEWMAN, Pikeville, Ky.
Burial Place: High Hat, Ky.
Date: 09 November 1943
Signature of funeral director: John G. Call, Pikeville, Ky.
Date received by local registrar: 15 November 1943
Registrar's Signature: Lucille Pruitt
Date of Death: 07 November 1943
I hereby certify that I attended deceased from (blank) to
30 October 1943, that I last saw him alive on (blank), and
that death occurred on the date stated above at 8:45 a.m.
Immediate cause of death: carbon monoxide poisoning
Duration: (blank)
Due to: Unburned gas from stove
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: A. G. Osborne, Pikeville, Ky.
Date signed: 13 November 1943
Transcribed by Debbie Tamborski, 01 June 2010 |
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