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DEATH
CERTIFICATE
CINDA GRIGSBY PATRICK
Date 13 May 1942
Cert: 15612
Place of Death: County: Floyd City or Town:
Hueysville, Ky.
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Hueysville, Ky. If rural give
precinct: Bosco 23
Full Name: Cinda GRIGSBY PATRICK
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Buck PATRICK
Age of husband or wife if alive: 51 years
Birth date of deceased: 04 February 1896
Age: 46 years, 03 months, 09 days
Birthplace: Knott Co., Ky.
Occupation: Domestic
Industry or business: (blank)
Father Name: James MADISON
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Mary NAPIER
Mother Birthplace: Perry Co., Ky.
Informant: Troy CONLEY, Hueysville, Ky.
Burial Place: Vest, Ky.
Date: 15 May 1942
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 21 July 1942
Registrar's Signature: Winifred Norris
Date of Death: 13 May 1942
I hereby certify that I attended deceased from 25 January 1942 to
13 May 1942, that I last saw him alive on 13 May 1942, and
that death occurred on the date stated above at 11:00 p.m.
Immediate cause of death: Auricular Fibrillation
Duration: 10 months
Due to: Auricular Fibrillation
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: C. B. Ison, Garrett, Ky.
Date signed: 05 June 1942
Transcribed by Debbie Tamborski, 26 May 2010 |
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