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DEATH
CERTIFICATE
BERTHA NIECE
Date: 19 October 1947
Cert: 24825
Place of Death: County: Letcher City or Town:
Colson
Street No. or Location: Colson
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Letcher
City or Town: Colson If rural
give precinct: Colson
Full Name: Bertha NIECE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Willie NIECE (husband)
Age of husband or wife if alive: 44 (?) (transcribed as
written)
Birth date of deceased: ? 1898 (?) (transcribed as
written)
Age: about 49 years, (?) months, (?) days (transcribed as
written)
Birthplace: Knott Co., Ky.
Occupation: House wife
Industry or business: (blank)
Father Name: George GIBSON
Father Birthplace: Ky.
Mother Maiden Name: Tishia COLLINS
Mother Birthplace: Ky.
Informant: Virgie C. COLLINS (neighbor), May, Ky.
Burial Place: Colson, Ky.
Date: 21 October 1947
Signature of funeral director: Family & Friends, Colson, Ky.
Date received by local registrar: 01 November 1947
Registrar's Signature: E. M. Collins
Date of Death: 19 October 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 7 a.m.
Immediate cause of death: Undetermined - probably a
cardiac disorder
Duration: (blank)
Due to: (on investigation)
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: R. D. Collins, M.D., Whitesburg,
Ky.
Date signed: 01 November 1947
Transcribed by Debbie Tamborski, 24 June 2010 |
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