DEATH CERTIFICATE

BUELAH ANN SHEPHERD

Date:  02 September 1950
Cert:  26635 
Place of Death: County: Knott      City or Town: Lackey
Length of stay (in this place): (blank)
Full Name of Hospital or Institution:  Stumbo Memorial
Usual Residence of Deceased: State: Ky.     County:  Floyd
City or Town: Garrett     Street Address: (blank)
Full Name:  Buelah Ann SHEPHERD
Date of Death:  02 September 1950
Sex, Color or Race, Marital Status:  Female, White, Infant
Date of Birth:  unknown
Age:  05 months
Usual Occupation:
Kind of Industry or business: (blank)
Birthplace:  Garrett, Ky.
Father's Name:  Ezra SHEPHERD
Mother's Maiden Name:  Tavey VANDERPOOL
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Ezra SHEPHERD
Disease or condition directly leading to death:  Pseudomonas Enteritis
Interval between onset and death:  05 days
Due to (b):  Dehydration
Due to (c):  (illegible)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  No
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 (illegible) 1950 to (illegible) 1950, that I last saw the deceased alive on (illegible), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  27 November 1950
Address:  Lackey, Ky.
Signature:  Martha A. Loving, M.D.
Burial, Cremation or Removal:  Burial
Date:  03 September 1950
Name of Cemetery or Crematory:  Bently
Location:  Garrett, Floyd Co., Ky.
Date received by local registrar: 29 November 1950
Registrar's Signature:  Rose B. Craft
Funeral director & address:  John C. Hall, Martin, Ky.
Transcribed by Debbie Tamborski, 16 January 2011