Date: 05 July 1945
Cert: 19576
Place of Death: County: Vest, Ky., Knott 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: Knott
City or Town: Rural Vest
Full Name: Sarah SHEPHERD
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Henderson SHEPHERD
Age of husband or wife if alive: 67 years
Birth date of deceased: 22 March 1882
Age: 63 years, 03 months, 14 days
Birthplace: Decoy, Ky.
Occupation: House wife
Industry or business: none
Father Name: Elias SHEPHERD
Father Birthplace: Decoy, Ky.
Mother Maiden Name: Louisa MORGAN
Mother Birthplace: Kentucky
Informant: H. D. SHEPHERD, Vest, Ky.
Burial Place: Vest, Ky.
Date: 07 July 1945
Signature of funeral director: H. D. Shepherd, Vest, Ky.
Date received by local registrar: 18 September 1945
Registrar's Signature: Rose B. Craft
Date of Death: 05 July 1945
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 (blank) Dr. Duke saw this
patient and prescribed for her in June 1945 - RBC
Immediate cause of death: Paralytic stroke
Duration: (blank)
Due to: Hypertension
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: J. W. Duke, M.D., Hindman
Date signed: 18 July 1945
Transcribed by Debbie Tamborski, 29 November 2010 |