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DEATH
CERTIFICATE
MARY A. RITCHIE
Date 21 March 1943
Cert: 07367
Place of Death: County: Perry City or
Town: Hazard
Name of Hospital or Institution: Hazard Hosp. Co.
Length of stay in hospital or community:
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural Fisty
Full Name: Mary A. RITCHIE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 03 March 1943
Age: 18 days
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Kelly RITCHIE
Father Birthplace: Knott Co.
Mother Maiden Name: Melesa RITCHIE
Mother Birthplace: Knott Co.
Informant: Kelly RITCHIE, Fisty
Burial Place: Fisty
Date: 22 March 1943
Signature funeral director: Engle Und. & Hdw. Co., Hazard, Ky.
Date received by local registrar: 05 April 1943
Registrar's Signature: Anna Laura Boulos
Date of Death: 21 March 1943
I hereby certify that I attended deceased from 21 March 1943 to
21 March 1943, that I
last saw him alive on 21 March 1943, and that death occurred on the date
stated above at 3:15 p.m.
Immediate cause of death: puerpera (illegible)
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: Chris S. Jackson, M.D., Hazard, Ky.
Date signed: 02 April 1943
Transcribed by Debbie Tamborski, 06 February 2010 |
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