Date: 07 June 1947
Cert: 24769
Place of Death: County: Knott City or
Town: Hindman, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Hindman Street
No.: Rural
Full Name: Elera ROBERTS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Infant
Husband or Wife of: None
Age of husband or wife if alive: (blank)
Birth date of deceased: 30 May 1947
Age: 09 days
Birthplace: Hindman, Ky. Rural
Occupation: (blank)
Industry or business: (blank)
Father Name: Leslie ROBERTS
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Magnus PATRICK
Mother Birthplace: Knott Co., Ky.
Informant: Magnus ROBERTS, Hindman, Ky.
Burial Place: Ritchie Cem.
Date: 08 June 1947
Signature of funeral director: Friends, Hindman, Ky.
Date received by local registrar: 16 November 1947
Registrar's Signature: Rose B. Craft By L. Roth
Date of Death: 07 June 1947
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Unknown - Mother reports that
this child was never normal - breathed with difficulty and
finally died - No physician present
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: J. W. Duke, M.D., Hindman, Ky.
Date signed: (illegible)
Transcribed by Debbie Tamborski, 20 December 2010 |