Date: 02 December 1944
Cert: 13034
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Mem. Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Garrett (Rural)
Full Name: Mrs. Gertrude PATRICK
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Jim PATRICK
Age of husband or wife if alive: (blank)
Birth date of deceased: 04 May 1896
Age: 48 years, 06 months, 08 days
Birthplace: Knott Co., Lackey
Occupation: Hswf.
Industry or business: (blank)
Father Name: Elic GRIFFITH
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Synthiana DANIELS
Mother Birthplace: Knott Co., Ky.
Informant: Jim PATRICK, Garrett, Ky.
Burial Place: Wicker Grave Yard
Date: 04 December 1944
Signature of funeral director: E. P. Arnold,
Prestonsburg, Ky.
Date received by local registrar: February 1945
Registrar's Signature: Rose B. Craft
Acting Registrar Per B. Carns
Date of Death: 02 December 1944
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 (blank)
Immediate cause of death: Carcinoma of Gall Bladder
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: A. R. Hodge, M.D., Lackey, Ky.
Date signed: 20 March 1945
Transcribed by Debbie Tamborski, 15 November 2010 |