Date:   03 July 1941
Cert:   20353 
Place of Death: County: Knott     City or Town: Lackey, Ky.
Name of Hospital or Institution: Stumbo Memorial
Length of stay in hospital or community: 01 month, 01 day
Usual Residence of Deceased: State: Ky.      County: Floyd
City or Town:  Langley
Full Name:  Minnie SALISBERY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of:  Tagil SALISBERY
Age of husband or wife if alive:  39 years
Birth date of deceased:  (blank)
Age: 35 years, Don't know
Birthplace:  Langley, Ky.
Occupation:  Domestic
Industry or business: (blank)
Father Name:  Sam HOWARD
Father Birthplace:  Magoffin Co.
Mother Maiden Name:  Beckie WIREMAN
Mother Birthplace:  Magoffin Co.
Informant:  Togal SALISBERY, Langley, Ky.
Burial Place:  Langley, Ky.
Date:  04 July 1941
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar:  15 August 1941
Registrar's Signature:  Phena Slone
Date of Death:  03 July 1941
I hereby certify that I attended deceased from 02 June 1941 to 03 July 1941, that I last saw her alive on 03 July 1941, and that death occurred on the date stated above at 3:40 p.m.
Immediate cause of death:  puerpal sepsis
Duration: 01 months
Other conditions:  catarrhal jaundice latent syphilis
Major findings of operations: Durkhen's incision fibrotic cervix
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: C. R. Messer, M.D., Lackey, Ky.
Date signed:  24 July 1941
Transcribed by Debbie Tamborski, 15 October 2010