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DEATH
CERTIFICATE
Mrs. NANCY ANN RICE
Date: 10 June 1947
Cert: 12649
Place of Death: County: Clark City or Town:
Winchester
Hospital or Institution: Clark County Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Clark
City or Town: Winchester Street
No.: Rose Street
Full Name: Mrs. Nancy Ann RICE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widow
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 01 July 1862
Age: 84 years, 11 months, 09 days
Birthplace: Knot County, Kentucky
Occupation: None
Industry or business: (blank)
Father Name: Ben MULLINS
Father Birthplace: Knot County, Kentucky
Mother Maiden Name: Lizzie MULLINS
Mother Birthplace: Knot County, Kentucky
Informant: Bennie HUFF, Winchester, Kentucky
Burial Place: Nada Cemetery, Powell Co., Ky.
Date: 12 June 1947
Signature of funeral director: Scobee Funeral
Home, Winchester, Ky.
Date received by local registrar: 18 June 1947
Registrar's Signature: Aileen C. Andrews
Date of Death: 10 June 1947
I hereby certify that I attended deceased from 10 May 1947 to
10 June 1947, that I last saw him alive on 10 June 1947, and
that death occurred on the date stated above at 6 p.m.
Immediate cause of death: Pneumonia Lobar
Duration: (blank)
Due to: Fracture of left femur
Major findings of operations: non
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: fall
Signature & Address: John A. Snowden, M.D.,
Winchester, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 24 June 2010 |
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