DEATH CERTIFICATE

BETTIE SIZEMORE

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