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DEATH
CERTIFICATE
NANCY NOBLE
Date 12 January 1935
Cert: 02553
Place of Death: Voting Pct.: Lotts Creek, Perry Co., Ky.
Full Name: Nancy NOBLE
Residence: (blank)
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Single
Husband or Wife of: (blank)
Date of Birth: (blank)
Age: 47 years, 01 months, 10 days
Occupation: Housekeeper
Birthplace: Knott Co., Ky.
Father Name: J. K. NOBLE
Birthplace Father: Ky.
Mother Maiden Name: Cynthia Ann HUDSON
Birthplace Mother: Ky.
Informant/Address: Mrs. Tom NOBLE, Hardburly, Ky.
Burial Cremation Removal Place: (blank)
Date: (blank)
Undertaker/Address: (blank)
Filed: 06 February 1935
Registrar: Wm. G. Cornett
Death of Date: 12 January 1935
I hereby certify, That I attended deceased from 11 January
1935 to
12 January 1935, that I last saw her alive on 12 January 1935, death is said
to have occurred on the date stated above, at 3 p.m.
Cause of Death: Acute Cardiac Dilatation
Date of onset: (blank)
Contributory causes: Myocarditis
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: H. W. Gingles, M.D., Hardburly, Ky.
Transcribed by Debbie Tamborski, 17 April 2010 |
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