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DEATH
CERTIFICATE
WILLIAM HIRAM PRIDEMORE
Date 12 February 1941
Cert: 5805
Place of Death: County: Pike City or Town:
Pikeville
Name of Hospital or Institution: M. E. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky County:
Knott
City or Town: Mallie
Full Name: William Hiram PRIDEMORE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Minta PRIDEMORE
Age of husband or wife if alive: 57
Birth date of deceased: 01 November 1868
Age: 72 years
Birthplace: Knott Co., Ky.
Occupation: Farmer
Industry or business: Retired
Father Name: George PRIDEMORE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Mollie PRIDEMORE
Mother Birthplace: W. Va.
Informant: Iven PRIDEMORE, Pippapass, Ky.
Burial Place: Ivis, Ky.
Date: 14 February 1941
Signature of funeral director: Family
Date received by local registrar: 24 February 1941
Registrar's Signature: Rinna Justice
Date of Death: 12 February 1941
I hereby certify that I attended deceased from (blank) to 09
February 1941, that I
last saw him alive on 12 February 1941, and that death occurred on the date
stated above at 11:30 p.m.
Immediate cause of death: Broncho pneumonia, myocarditis
Due to: Prostatic hypertrophy lungs
Major findings of operations: Senile benign prostatic
hypertrophy
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: Henry R. Bennan, M.D., Pikeville, Ky.
Date signed: 15 February 1941
Transcribed by Debbie Tamborski, 01 February 2010 |
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