|
DEATH
CERTIFICATE
BEULA MAY RUTH
Date 18 February 1929
Cert: 10558
Place of Death: Voting Pct: #19 Diablock, Perry Co., Ky.
Full Name: Beula May RUTH
Residence: (blank)
Length of Residence in city where death occurred:
(blank)
Sex, Color or Race, Marital Status: Female, White, Baby
Husband or Wife of: (blank)
Date of Birth: 29 December 1927
Age: 13 months, 18 days
Occupation: Baby
Birthplace: Anco, Knott County, Ky.
Father Name: Johnny RUTH
Birthplace Father: Carneigie, Okla.
Mother Maiden Name: Susie MULLINS
Birthplace Mother: Breathitt Co., Ky.
Informant/Address: Johnny RUTH, Diablock, Ky.
Filed: 25 March 1929
Registrar: Bud Morgan
Death of Date: 18 February 1929
I hereby certify that I attended deceased from 10 February
1929 to
18 February 1929, that I last saw her alive on 18 February
1929, and that death
occurred on the date stated above at 7:30 a.m.
Cause of Death: Bronchial pneumonia following influenza
Duration: 10 days
Contributory: (blank)
Duration: (blank)
Where was disease contracted if not at place of death?:
(blank)
Did an operation precede death: No Date: (blank)
Was there an autopsy: No
What test confirmed diagnosis: (blank)
Signed/Address: Dana Snyder, M.D., 19 February
1929, Hazard, Ky.
Place of Burial or Removal: Lothair, Ky.
Date of Burial: 19 February 1929
Undertaker/Address: Family
Transcribed by Debbie Tamborski, 28 March 2010 |
|