|
DEATH
CERTIFICATE
MYRTLE PORTER
Date: 16 July 1947
Cert: 16123
Place of Death: County: Letcher City or Town:
Rural
Street No. or Location: Jackhorn
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Letcher
City or Town: Jackhorn
Full Name: Myrtle PORTER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Clyde J. PORTER
Age of husband or wife if alive: 22 years
Birth date of deceased: 09 May 1925
Age: 22 years, 02 months, 08 days
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Ben POTTER
Father Birthplace: Ky.
Mother Maiden Name: Frona AMBURGEY
Mother Birthplace: Ky.
Informant: Clyde PORTER, Jackhorn, Ky.
Burial Place: Porter Cem.
Date: 18 July 1947
Signature of funeral director: Craft Funeral Home, Neon, Ky.
Date received by local registrar: 18 July 1947
Registrar's Signature: E. M. Collins
Date of Death: 16 July 1947
I hereby certify that I attended deceased from 01 January 1947 to
16 July 1947, that I last saw him alive on 10 July 1947, and
that death occurred on the date stated above at 5:40 p.m.
Immediate cause of death: Pulmonary Tuberculosis
Duration: 02 years
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: C. B. Carter, M.D., Fleming, Ky.
Date signed: 16 July 1947
Transcribed by Debbie Tamborski, 24 June 2010 |
|