Date: 26 January 1942
Cert: 01760
Place of Death: County: Knott City or
Town: Lackey, Ky.
Name of Hospital or Institution: Stumbo Memorial
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Garrett, Ky.
Full Name: Bula Gene PRICHARD
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 06 June 1940
Age: 07 months, 20 days
Birthplace: Garrett
Occupation: (blank)
Industry or business: (blank)
Father Name: J. W. PRICHARD
Father Birthplace: Lawrence Co.
Mother Maiden Name: Louverna TERRY
Mother Birthplace: Floyd Co.
Informant: J. W. PRICHARD, Garrett, Ky.
Burial Place: Garrett, Ky.
Date: 27 January 1942
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar: 05 February 1942
Registrar's Signature: Ida Livingston
Date of Death: 26 January 1942
I hereby certify that I attended deceased from 25 January 1942 to
26 January 1942, that I last saw her alive on 26 January 1942, and that death
occurred on the date stated above at 7:00 a.m.
Immediate cause of death: Broncho pneumonia
Duration: 02 days
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. R. Messer, M.D., Lackey, Ky.
Date signed: 04 February 1942
Transcribed by Debbie Tamborski, 17 October 2010 |