DEATH CERTIFICATE

 MARY ANN STURGILL

Date:   23 January 1941
Cert:   02297 
Place of Death: County: Knott Co.   City or Town: Hindman
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Hindman
Full Name:  Mary Ann STURGILL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of:  Jack STURGILL
Age of husband or wife if alive:  (blank)
Birth date of deceased:  09 September 1863 
Age: 77 years
Birthplace:  Letcher Co.
Occupation:  House work
Industry or business: (blank)
Father Name:  James STURGILL
Father Birthplace:  Letcher Co.
Mother Maiden Name:  Beckey CAUDILL
Mother Birthplace:  Letcher Co.
Informant:  David STURGILL, Hindman
Burial Place:  Hindman, Ky.
Date:  23 January 1941
Signature of funeral director: (blank)
Date received by local registrar:  31 January 1941
Registrar's Signature:  Macie Miller
Date of Death:  23 January 1941
I hereby certify that I attended deceased from 20 January 1941 to 23 January 1941, that I last saw her alive on 23 January 1941, and that death occurred on the date stated above at 8:00 p.m.
Immediate cause of death:  influenza
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:  (blank)
Transcribed by Debbie Tamborski, 15 October 2010