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DEATH
CERTIFICATE
LULA NOBLE
Date 24 September 1953
Cert: 21101
Place of Death: County: Johnson City or Town:
Paintsville
Length of stay in hospital or community: 05 days
Name of Hospital or Institution: Paintsville Hospital
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Betty
Full Name: Lula NOBLE
Date of Death: 24 September 1953
Sex, Color or Race, Marital Status: Female, White,
Widowed
Date of Birth: 02 April 1882
Age: 71 years, 05 months, 22 days
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Texas
Father's Name: John Morgan ALLEN
Mother's Maiden Name: Katie CLEMMONS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Alex CLEMMONS
Disease/condition directly leading to death: Cerebral
hemorrhage
Interval between onset and death: 05 days
Due to: Hypertensive cardio-vascular disease
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
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 20 September
1953 to
24 September 1953, that I
last saw the deceased alive on 24 September 1953, and that death occurred on
the date stated above at 6:05, from the causes and on the date
stated above.
Date signed: 03 October 1953
Address: Paintsville, Ky.
Signature: (illegible), M.D.
Burial, Cremation or Removal: Burial
Date: 27 September 1953
Name of Cemetery or Creamatory: Craft
Location: Lunah, Ky.
Date received by local registrar: 03 October 1953
Registrar's Signature: (illegible) Willoughby
Funeral director and address: J. B. Prater,
Salyersville, Ky.
Transcribed by Debbie Tamborski, 21 February 2010 |
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