Date: 29 September 1942
Cert: 27289
Place of Death: County: Knott City or
Town: Mallie, Ky.
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: Mallie, Ky.
Full Name: Arminie STURGILL SHORT
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female,White, Widow
Husband or Wife of: Arminie SHORT (transcribed as
written)
Age of husband or wife if alive: Dead
Birth date of deceased: 21 May 1874
Age: 68 years, 04 months, 08 days
Birthplace: Kentucky
Occupation: Farmer
Industry or business: (blank)
Father Name: John STURGILL
Father Birthplace: Va.
Mother Maiden Name: Bisse MARTIN
Mother Birthplace: (blank)
Informant: Alex SHORT, Jr., Mallie, Ky.
Burial Place: Short Creek
Date: 30 September 1942
Signature of funeral director: (blank)
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 29 September 1942
I hereby certify that I attended deceased from 01 September
1942 to
29 September 1942, that I last saw her alive on 28 September
1942, and that death occurred on the date stated above at 2
p.m.
Immediate cause of death: Chronic dilatation of the heart
Duration: (blank)
Due to: (blank)
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: M. F. Kelley, M.D., Hindman, Ky.
Date signed: 02 October 1942
Transcribed by Debbie Tamborski, 18 October 2010 |