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DEATH
CERTIFICATE
CELEE PATRICK
Date: 06 July 1949
Cert: 21718
Place of Death: County: Perry City or Town:
Tribby
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Tribby Street Address: (blank)
Full Name: Celee PATRICK
Date of Death: 06 July 1949
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 07 April 1880
Age: 69 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott
Father's Name: James TERRY
Mother's Maiden Name: Ellan STURGILL
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: James PATRICK
Disease/condition directly leading to death: Cancer of the
bowel
Interval between onset and death: 16 months (?)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
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 July 1947 to
July 1949, that I last saw the deceased alive on 02 July 1949, and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 09 July 1949
Address: Hardburly, Ky.
Signature: Hunter W. Gringles, M.D.
Burial, Cremation or Removal: Burial
Date: July 7, 1949
Name of Cemetery or Crematory: Ball creek
Location: Knott, Ky.
Date received by local registrar: 10 August 1949
Registrar's Signature: Helen C. Burriss
Funeral director & address: Engle's, Hazard, Ky.
Transcribed by Debbie Tamborski, 13 July 2010 |
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