DEATH CERTIFICATE

ELIZA NICHOLS

Date:    05 March 1948
Cert:    05958 
Place of Death: County: Knott   City or Town: Rural
Street Number or Location:  Big Branch
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Rural     If rural give precinct:  Big Branch 
Full Name:  Eliza NICHOLS 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Female, White, Widowed
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:    (blank)
Age:  76 years
Birthplace:  Perry Co., Ky. 
Occupation:  House Keeper 
Industry or business:  (blank)
Father Name:  Jack BREWER 
Father Birthplace:  Ky. 
Mother Maiden Name:  ? (transcribed as written)    
Mother Birthplace:   (blank) 
Informant:   Amos NICHOLS, Hindman, Ky. 
Burial Place:   Big Branch 
Date:  06 March 1948 
Signature of funeral director:  Joe Greer, Hazard, Ky.
Date received by local registrar: 09 March 1948 
Registrar's Signature: Rose B. Craft
Date of Death:  05 March 1948 
I hereby certify that I attended deceased from 01 September 1947 to 04 March 1948, that I last saw him alive on 04 March 1948, and that death occurred on the date stated above at (blank)
Immediate cause of death:  cerebral hemorrhage with rt. hemiplegia & aphasia with dysphagia
Duration: 06 days
Due to:  Hypertension and arteriosclerosis
Other conditions:  Hypertensive and arteriosclerotic heart disease
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  D. G. Barker, M.D., Hindman, Ky.
Date signed:  09 March 1948 
Transcribed by Debbie Tamborski, 28 December 2010