|
DEATH
CERTIFICATE
LURANY PIGMON
Date 28 December 1938
Cert: Original #29690
Place of Death: Voting Pct.: James Banks H., Floyd Co.,
Ky.
Full Name: Lurany PIGMON
Residence: Water Gap, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Wesley PIGMON
Date of Birth: 01 February 1869
Age: 69 years, 10 months, 28 days
Occupation: housewife
Birthplace: Knott Co.
Father Name: William AMBURGY
Birthplace Father: Knott
Mother Maiden Name: Pollyann SCALF
Birthplace Mother: Knott Co.
Informant/Address: Wesley PIGMON, Water Gap, Ky.
Burial Cremation Removal Place: Watergap, Ky.
Date: 29 December 1938
Undertaker/Address: E. P. Arnold, Prestonsburg, Ky.
Filed: 29 December 1938
Registrar: Mrs. Ben Norris
Death of Date: 28 December 1938
I hereby certify, That I attended deceased from 01 November
1932 to
28 December 1938, that I last saw her alive on or about 02
December 1938, death is said
to have occurred on the date stated above, at (blank)
Cause of Death: Cerebral Hemorrhage 3 days
Date of onset: (blank)
Contributory causes: Arterio Sclerosis of 2 yr. duration
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: A. J. Davidson, M.D., Prestonsburg, Ky.
Transcribed by Debbie Tamborski, 30 April 2010 |
|