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DEATH
CERTIFICATE
CYNTHIA STIDHAM
Date: 31 October 1947
Cert: 25261
Place of Death: County: Rowan City or Town:
Clearfield, Ky.
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Rowan
City or Town: Clearfield, Ky.
Full Name: Cynthia STIDHAM
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Charles STIDHAM
Age of husband or wife if alive: 60 years
Birth date of deceased: 27 November 1888
Age: 58 years, 11 months, 04 days
Birthplace: Knott Co., Kentucky
Occupation: Housewife
Industry or business: (blank)
Father Name: John STIDHAM
Father Birthplace: Ky.
Mother Maiden Name: Linda HICKS
Mother Birthplace: Ky.
Informant: Ellis STIDHAM, Clearfield, Ky.
Burial Place: Baldridge Cem.
Date: 02 November 1947
Signature of funeral director: W. C. Lane, Morehead, Ky.
Date received by local registrar: 06 November 1974
Registrar's Signature: Vivian E. Young
Date of Death: 31 October 1947
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 7 p.m.
Immediate cause of death: Nephritis
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: Dr. Thos. Arrevana (illegible),
Morehead
Date signed: (blank)
Transcribed by Debbie Tamborski, 26 June 2010 |
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