Date: 18 July 1943
Cert: 15278
Place of Death: County: Knott City or
Town: May
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: May
Full Name: Anna Jean STURGILL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Single
Husband or Wife of: None
Age of husband or wife if alive: (blank)
Birth date of deceased: 06 February 1943
Age: 05 months, 12 days
Birthplace: Clarksville, Tennessee
Occupation: None
Industry or business: (blank)
Father Name: Canton STURGILL
Father Birthplace: Kentucky
Mother Maiden Name: Gladys PRATT
Mother Birthplace: Kentucky
Informant: Mrs. Ada PRATT, May, Kentucky
Burial Place: Nealy Cemetery
Date: 18 July 1943
Signature of funeral director: None
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 18 July 1943
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: No physician in attendance.
History of Enteritis.
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: J. W. Duke, M.D., Hindman
Date signed: 10 March 1945
Transcribed by Debbie Tamborski, 27 October 2010 |