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DEATH
CERTIFICATE
MARY ANN ROBINETTE
Date: 23 September 1947
Cert: 21735
Place of Death: County: Floyd City or Town: Harold
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Harold
Full Name: Mary Ann ROBINETTE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Geo ROBINETTE
Age of husband or wife if alive: 63 years
Birth date of deceased: 07 February 1887
Age: 60 years
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: John AMBURGY
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Nancy SMITH
Mother Birthplace: Knott Co., Ky.
Informant: Jack ALLEN, Harold, Ky.
Burial Place: Harold, Ky.
Date: 26 September 1947
Signature of funeral director: N. J. Ryan, Martin, Ky.
Date received by local registrar: 17 October 1947
Registrar's Signature: Lucy Ransdell
Date of Death: 23 September 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 11:30 a.m.
Immediate cause of death: Chronic heart disease
Duration: 02 weeks
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: Marvin Ransdell, M.D.,
Prestonsburg
Date signed: 17 October 1947
Transcribed by Debbie Tamborski, 25 June 2010 |
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