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DEATH
CERTIFICATE
ETHEL SINGLETON
Date 27 July 1939
Cert: 18669
Place of Death: Vot. Pct. Hazard Hosp., Hazard, Perry Co., Ky.
Full Name: Ethel SINGLETON
Residence: Allock, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Adrian
Date of Birth: 15 January 1915
Age: 24 years
Occupation: House Keeper
Birthplace: Knott Co., Ky.
Father Name: Ben OWENS
Birthplace Father: Knott Co., Ky.
Mother Maiden Name: Dacus FELTNER
Birthplace Mother: Knott Co., Ky.
Informant/Address: Ben OWENS, Richie, Ky.
Burial Cremation Removal Place: Burial - Richie, Ky.
Date: 30 July 1939
Undertaker/Address: Engle Und. & Hdwe. Co., Hazard, Ky.
Filed: 02 August 1939
Registrar: Virginia Combs
Death of Date: 27 July 1939
I hereby certify, That I attended deceased from 21 July 1939 to
27 July 1939, that I last saw her alive on 27 July 1939, death
is said to have occurred on the date stated above, at 10
(illegible)
Cause of Death: Toxemia Puerperal Infection
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: Caeserian
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: no
Signed/Address: A. W. Wright, M.D., Hazard, Ky.
Transcribed by Debbie Tamborski, 05 May 2010 |
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