Date: 14 March 1952
Cert: 10453
Place of Death: County: Knott
City or Town: Decoy, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Decoy Rural Street Address:
(blank)
Full Name: Sarah Jane Shepherd
Date of Death: 14 March 1952
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 18 March 1883
Age: Almost 69 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Acute Heart Attack
Father's Name: Press BRADLEY
Mother's Maiden Name: Rosanna MAGGARD
Was deceased ever in armed forces: (blank)
Social Security No.: none
Informant: Morgan SHEPHERD
Disease/condition directly leading to death: Acute Heart
Attack
Interval between onset and death: 05 hours
Due to: (blank)
Other significant conditions: (blank)
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at 10:10 p.m., from the causes and on the
date stated above.
Date signed: 19 May 1952
Address: Hindman, Ky.
Signature: J. W. Duke
Burial, Cremation or Removal: Burial
Date: 17 March 1952
Name of Cemetery or Crematory: Press Bradley Cemetery
Location: Decoy, Breathitt, Ky.
Date received by local registrar: 04 June 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: Friends & Relatives,
Decoy, Ky.
Transcribed by Debbie Tamborski, 28 January 2011 |