DEATH CERTIFICATE

CORA G. RICHIE

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