Date: 17 January 1947
Cert: 01694
Place of Death: County: Knott City or
Town: Clear Creek, Fisty, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Clear Creek Street
No.: Fisty P.O.
Full Name: Cora G. RICHIE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Doug RICHIE
Age of husband or wife if alive: (blank)
Birth date of deceased: 18 March 1900
Age: 45 years, 09 months, 00 days
Birthplace: Perry County, Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: Sam GRIGSBY
Father Birthplace: Knott County, Ky.
Mother Maiden Name: Unknown WATTS
Mother Birthplace: (blank)
Informant: H. S. SHORT, Fisty, Ky.
Burial Place: Clear Creek Cem.
Date: 18 January 1947
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 23 January 1947
Registrar's Signature: Rose B. Craft
Date of Death: 17 January 1947
I hereby certify that I attended deceased from August 1945 to
05 December 1946, that I last saw him alive on 05 December
1946, and that death occurred on the date stated above at 3
p.m.
Immediate cause of death: Pulmonary Tuberculosis
Duration: (blank)
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: S. M. Richie, M.D., Hazard, Ky.
Date signed: 21 January 1947
Transcribed by Debbie Tamborski, 14 December 2010 |