Date: 11 May 1948
Cert: 12749
Place of Death: County: Knott Co. City or
Town: Red Fox, Ky.
Street Number or Location: At Home
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Red Fox, Ky.
Full Name: Sarah OLIVER
If Veteran Name War: None
Social Security No.: None
Sex, Color or Race, Marital Status: Female, White,
Widow
Husband or Wife of: Deceased
Age of husband or wife if alive: (blank)
Birth date of deceased: 12 August 1903
Age: 44 years, 08 months, 29 days
Birthplace: Knott Co.
Occupation: House Wife
Industry or business: Home
Father Name: Harm ADAMS
Father Birthplace: Knott Co.
Mother Maiden Name: Millie SMITH
Mother Birthplace: Knott Co.
Informant: Raymond PARKS, Red Fox, Ky.
Burial Place: Cornett Hill, Sasfrass, Ky.
Date: 14 May 1948
Signature funeral director: Maggard Blair & Garrett, Hazard,
Ky.
Date received by local registrar: 14 June 1948
Registrar's Signature: Rose B. Craft
Date of Death: 11 May 1948
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 11 p.m.
Immediate cause of death: Heart failure
Duration: (blank)
Due to: Heart block
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: J. R. Aker, M.D., Anco, Ky.
Date signed: 14 May 1948
Transcribed by Debbie Tamborski, 28 December 2010 |