Date: 06 September 1945
Cert: 23982
Place of Death: County: Knott City or
Town: Topmost
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Topmost
Full Name: Tallahassee OSBORN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Earl OSBORN
Age of husband or wife if alive: 38 years
Birth date of deceased: 15 July 1907
Age: 38 years, 01 months, 22 days
Birthplace: Knott Co., Ky.
Occupation: Domestic
Industry or business: (blank)
Father Name: John CAUDILL
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Hulda ISAACS
Mother Birthplace: Knott Co., Ky.
Informant: Earl OSBORN, Topmost, Ky.
Burial Place: Topmost, Ky.
Date: 07 September 1945
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 21 November 1945
Registrar's Signature: Rose B. Craft
Date of Death: 06 September 1945
I hereby certify that I attended deceased from 06 September
1945 to
06 September 1945, that I last saw him alive on 06 September
1945, and that death occurred on the date stated above at 3
p.m.
Immediate cause of death: Lobar pneumonia
Duration: 05 days
Due to: (blank)
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: Mark Dempsey, M.D., Garrett,
Ky.
Date signed: 11 November 1945
Transcribed by Debbie Tamborski, 29 November 2010 |