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DEATH
CERTIFICATE
NORA PATRICK
Date 08 January 1926
Cert: 00910
Place of Death: Vot. Precinct: Midas, Hueysville, Floyd Co.,
Ky.
Full Name: Nora PATRICK
Sex, Color or Race, Marital Status: Female, White,
Married
Date of Birth: 18 February 1901
Age: 24 years, 10 months, 20 days
Occupation: Housework work in own home
Birthplace: Knott Co., Ky.
Name of Father: Jim COBURN
Birthplace Father: Knott, Ky.
Maiden name of Mother: Mary Anne BURGY
Birthplace Mother: Knott Co., Ky.
Informant/Address: Alvin PATRICK, Hueysville, Ky.
Filed: (blank)
Registrar: G. S. Howard
Death Date: 08 January 1926
I hereby certify that I attended deceased from 01 January 1926, to
08 January 1926, that I last saw her alive on 08 January 1926,
and that death occurred, on the date stated above, at 5 p.m.
Cause of Death: Flue with Lobar Pneumonia
Fever and Typhoid Fever
Duration: 08 days
Contributory: (blank)
Signed/Address: Mark Dempsey, M.D., 10
January 1926, Lackey, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Hueysville, Ky.
Date of Burial: 10 January 1926
Undertaker/Address: W. M. Bailey, Garrett
Transcribed by Debbie Tamborski, 21 March 2010 |
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