Date: 26 April 1943
Cert: 15265
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Mem. Hospital
Length of stay in hospital or community: 01 day
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Garrett (Rural)
Full Name: Catherine NOLAN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widow
Husband or Wife of: W. M. NOLAN
Age of husband or wife if alive: (blank)
Birth date of deceased: 1871
Age: 72 years
Birthplace: Bull Creek, Floyd Co., Ky.
Occupation: Lived with Mrs. Melvin Allen, daughter
Industry or business: (blank)
Father Name: Sam MOSLEY
Father Birthplace: Floyd Co., Ky.
Mother Maiden Name: HALE
Mother Birthplace: Floyd Co., Ky.
Informant: Mrs. Melvin ALLEN, Garrett, Ky.
Burial Place: Wicker Cemetery
Date: 28 April 1943
Signature of funeral director: E. P. Arnold, Prestonsburg, Ky.
Date received by local registrar: 31 March 1945
Registrar's Signature: (blank) Per B. Carns
Date of Death: 26 April 1943
I hereby certify that I attended deceased from 20 April 1943 to
26 April 1943, that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: (blank)
Duration: (blank)
Due to: Burns: caught clothing on fire - entire surface of
body badly burned
Other conditions: Senility
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: in her home
While at work: (blank)
Means of injury: (blank)
Signature & Address: Dr. M. M. Collins, M.D., Lackey,
Ky.
Date signed: 31 March 1945
Transcribed by Debbie Tamborski, 25 October 2010 |