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DEATH
CERTIFICATE
MAUDE SAWYERS
Date 02 March 1952
Cert: 13262
Place of Death: County: Perry City or Town:
Hazard, Ky.
Length of stay in hospital or community: 02 weeks
Name of Hospital or Institution: Mt. Mary Hospital
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Rural
Location: Vest, Ky.
Full Name: Maude SAWYERS
Date of Death: 02 March 1952
Sex, Color or Race, Marital Status: Female, White,
Married
Date of Birth: 18 June 1900
Age: 51 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping House
Birthplace: Knott Co., Ky.
Father's Name: Tom SPARKMAN
Mother's Maiden Name: Elizabeth WATKINS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: William SAWYERS
Disease/condition directly leading to death: Bleeding Peptic
Ulcer
Interval between onset and death: 3 weeks
Due to: (blank)
Other significant conditions: Old Cerebral hemorrhage &
Rt. sided ?posesia?
Date of Operation: (blank)
Major findings of operation: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I
last saw the deceased alive on (blank), and that death occurred on
the date stated above at (blank), from the causes and on the date
stated above.
Date signed: 02 March 1952
Address: Hazard, Ky.
Signature: Ernest A. Jolia, M.D.
Burial, Cremation or Removal: Burial
Date: 05 March 1952
Name of Cemetery or Creamatory: Family Cemetery
Location: Vest, Knott Co., Ky.
Date received by local registrar: 22 May 1952
Registrar's Signature: Georgia P. Surer
Funeral director and address: John N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 20 February 2010 |
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