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DEATH
CERTIFICATE
MARION PIGMAN
Date 16 March 1941
Cert: 06829
Place of Death: County: Fayette City or Town:
Lexington
Name of Hospital or Institution: Eastern State Hospital
Length of stay in hospital/community: 01 year,
07 months, 28 days
Usual Residence of Deceased: State: Kentucky County:
Rowan
City or Town: Morehead
Full Name: Marion PIGMAN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Maggie PIGMAN
Age of husband or wife if alive: Unknown
Birth date of deceased: 1860
Age: 81 years
Birthplace: Knott County, Kentucky
Occupation: None
Industry or business: (blank)
Father Name: Unknown
Father Birthplace: (blank)
Mother Maiden Name: Unknown
Mother Birthplace: (blank)
Informant: Eastern State Hospital Records, Lexington, Kentucky
Burial Place: Morehead, Ky.
Date: (blank)
Signature of funeral director: J. N. Ferguson, Morehead, Ky.
Date received by local registrar: 18 March 1941
Registrar's Signature: D. A. Furlong
Date of Death: 16 March 1941
I hereby certify that I attended deceased from 18 July 1939 to
16 March 1941, that I last saw him alive on 16 March 1941, and
that death occurred on the date stated above at 8:15 a.m.
Immediate cause of death: Arteriosclerotic Heart Disease
Duration: 02 years
Other conditions: Psychosis with Cerebral
Arteriosclerosis
Duration: 18 months
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. L. Beckett,
M.D., E. S. H., Lexington, Ky.
Date signed: 16 March 1941
Transcribed by Debbie Tamborski, 13 May 2010 |
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