Date: 13 August 1945
Cert: 09425
Place of Death: County: Knott City or
Town: Talcum, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Talcum Rural
Full Name: Bettie SIZEMORE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widow
Husband or Wife of: Sol SIZEMORE
Age of husband or wife if alive: (blank)
Birth date of deceased: 01 November 1861
Age: 83 years, 09 months, 12 days
Birthplace: Knott Co., Ky., Stacy
Occupation: Housewife
Industry or business: (blank)
Father Name: William CAMPBELL
Father Birthplace: Perry Co., Ky.
Mother Maiden Name: Polly ALLEN
Mother Birthplace: Perry Co., Ky.
Informant: Bettie RITCHIE, Talcum, Ky.
Burial Place: Ary, Ky.
Date: 15 August 1945
Signature of funeral director: Aron Ritchie (not an
undertaker), Talcum, Ky.
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 13 August 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)
Immediate cause of death: Pneumonia
Duration: (blank)
Due to: Senility
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: (blank)
Transcribed by Debbie Tamborski, 29 November 2010 |