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DEATH
CERTIFICATE
Mr. AMOS RICHIE
Date: 29 July 1947
Cert: 15517
Place of Death: County: Jefferson
City or Town: Louisville
Hospital or Institution: St. Joseph's Inf.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky County:
Perry
City or Town: Vest
Full Name: Amos RICHIE
If Veteran Name War: World War II
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Myrtle RICHIE
Age of husband or wife if alive: (blank)
Birth date of deceased: 20 May 1916
Age: 31 years, 02 months, 09 days
Birthplace: Vest, Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: Henry RICHIE
Father Birthplace: Kentucky
Mother Maiden Name: Phoebe Jane FUGATE
Mother Birthplace: Kentucky
Informant: Mrs. Myrtle RICHIE, Vest, Ky.
Burial Place: Perry Co., Ky.
Date: 30 July 1947
Signature funeral director: (illegible) Smith-Son, 1015 So.
4th St.
Date received by local registrar: 01 August 1947
Registrar's Signature: N. N. Ferguson
Date of Death: 29 July 1947
I hereby certify that I attended deceased from 29 July 1947 to
29 July 1947, that I last saw him alive on 29 July 1947, and
that death occurred on the date stated above at 7:15 a.m.
Immediate cause of death: undetermined--autopsy
(illegible)-Pt. only in (illegible) a few hours
Duration: (blank)
Due to: Epilepsy
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: A. D. Bronwell, M.D., St. Joseph
Inf.
Date signed: 30 July 1947
Transcribed by Debbie Tamborski, 25 June 2010 |
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