|
DEATH
CERTIFICATE
SALLIE SARKS
Date 03 August 1942
Cert: 17281
Place of Death: County: Boyd City or Town:
Naples, Ky.
Street No. or Location: Residence
Length of stay in hospital or community: 40 years
Usual Residence of Deceased: State: Kentucky County:
Boyd
City or Town: Naples, Ky.
Full Name: Sallie SARKS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Will SARKS
Age of husband or wife if alive: (blank)
Birth date of deceased: 19 February 1889
Age: 53 years, 05 months, 15 days
Birthplace: Knott Co., Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: Able HUFF
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Elvaney GEAHEART
Mother Birthplace: Knott Co., Ky.
Informant: Will SARKS, Naples, Ky.
Burial Place: Family Cemetery
Date: 05 August 1942
Signature of funeral director: John (illegible), Ashland, Ky.
Date received by local registrar: 10 August 1942
Registrar's Signature: (illegible)
Date of Death: 03 August 1942
I hereby certify that I attended deceased from 18 July 1942 to
29 July 1942, that I last saw him alive on 29 July 1942, and
that death occurred on the date stated above at 4 p.m.
Immediate cause of death: Cancer of stomach malignant
stomach
Duration: ? [sic]
Due to: Malignant stomach and heart disease
Major findings of operations: non
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: A. L. Blair, M.D., Ashland, Ky.
Date signed: 15 August 1942
Transcribed by Debbie Tamborski, 27 May 2010 |
|