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DEATH
CERTIFICATE
Mrs. JULIANA
SEXTON
Date 05 January 1940
Cert: 02057
Place of Death: County: Letcher City or Town:
Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: rural Street No.:
Democrat, Ky.
Full Name: Mrs. Juliana SEXTON
If Veteran Name War: (blank)
Social Security No.: none
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Bennie SEXTON
Age of husband or wife if alive: 53 years
Birth date of deceased: 16 January 1884
Age: 55 years, 11 months, 09 days
Birthplace: Knott Co., Ky.
Occupation: House work
Industry or business: at home
Father Name: George GIBSON
Father Birthplace: Ky.
Mother Maiden Name: Tishia COLLINS
Mother Birthplace: Ky.
Informant: Bennie SEXTON (husband), Democrat, Ky.
Burial Place: Ivan, Knott Co., Ky.
Date: 06 January 1940
Signature of funeral director: Family, Democrat, Ky.
Date received by local registrar: 16 January 1940
Registrar's Signature: E. M. Collins
Date of Death: 05 January 1940
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 5 p.m.
Immediate cause of death: Cerebral hemorrhage - died
suddenly while cooking a meal
Duration: (blank)
Due to: Hypertension (on investigation)
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: R. D. Collins, M.D., Whitesburg,
Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 10 May 2010 |
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