Date: 18 October 1947
Cert: 27129
Place of Death: County: Knott Co. City or
Town: Talcum, Ky. Rural
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: Talcum, Ky. Rural
Full Name: Docia PATRICK
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Bill PATRICK
Age of husband or wife if alive: 22 years
Birth date of deceased: 07 March 1921
Age: 26 years, 07 months, 11 days
Birthplace: Knott Co., Ky.
Occupation: House Wife
Industry or business: (blank)
Father Name: Leburn TERRY
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Docia NAPIER
Mother Birthplace: Ky.
Informant: Bill PATRICK, Talcum, Ky.
Burial Place: Talcum, Ky.
Date: 19 October 1947
Signature of funeral director: Joe Greer, Hazard, Ky.
Date received by local registrar: 15 December 1947
Registrar's Signature: Rose B. Craft
Date of Death: 18 October 1947
I hereby certify that I attended deceased from 18 (blank) 1947 to
18 October 1947, that I last saw him alive on 18 October 1947,
and that death occurred on the date stated above at 3 p.m.
Immediate cause of death: Postpartum hemorrhage
Duration: (blank)
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: M. F. Kelley, M.D., Hindman,
Ky.
Date signed: 28 October 1947
Transcribed by Debbie Tamborski, 20 December 2010 |