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DEATH
CERTIFICATE
REBECCA NIECE
Date: 22 July 1953
Cert: 15108
Place of Death: County: Letcher City or Town:
Colson, Ky.
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky County:
Letcher
City or Town: Colson, Ky. Street Address: (blank)
Full Name: Rebecca NIECE
Date of Death: 22 July 1953
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 04 July 1880
Age: 73 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Peter MADDEN
Mother's Maiden Name: Jane NIECE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Jim NIECE (step-son)
Disease/condition directly leading to death: Chronic Myocartis
Interval between onset and death: 05 years
Due to: (blank)
Other significant conditions: age
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from July 1951 to 19
July 1953, that I last saw the deceased alive on 19 July 1953, and
that death occurred at 1 a.m., from the causes and on the
date stated above.
Date signed: 23 July 1953
Address: Whitesburg, Ky.
Signature: J. E. Crawford, M.D.
Burial, Cremation or Removal: Burial
Date: 25 July 1953
Name of Cemetery or Crematory: Family Cemetery
Location: Colson (Camp Branch), Ky.
Date received by local registrar: 26 July 1953
Registrar's Signature: G. W. Collins
Funeral director & address: Archie Craft,
Whitesburg, Ky.
Transcribed by Debbie Tamborski, 13 August 2010 |
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