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DEATH
CERTIFICATE
LULA NEWSOME
Date: 07 September 1947
Cert: 20484
Place of Death: County: Letcher City or Town:
Kona, Ky.
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Letcher
City or Town: Kona
Full Name: Lula NEWSOME
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Isaac NEWSOM
Age of husband or wife if alive: 73 years
Birth date of deceased: 03 March 1888
Age: 59 years, 06 months, 04 days
Birthplace: Knott Co., Ky.
Occupation: housewife
Industry or business: (blank)
Father Name: Mastin NICHOL
Father Birthplace: Ky.
Mother Maiden Name: Julia SPARKS
Mother Birthplace: Ky.
Informant: Mrs. Bruce BATES - dau., Kona, Ky.
Burial Place: Kona, Ky.
Date: 11 September 1947
Signature of funeral director: Archie Craft, Whitesburg, Ky.
Date received by local registrar: 08 September 1947
Registrar's Signature: E. M. Collins
Date of Death: 07 September 1947
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 10 p.m.
Immediate cause of death: Chr. myocarditis with ascites
Duration: ? (transcribed as written)
Due to: (blank)
Other conditions: Hypertension
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: R. D. Collins, M.D., Whitesburg,
Ky.
Date signed: 08 September 1947
Transcribed by Debbie Tamborski, 24 June 2010 |
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