DEATH CERTIFICATE

Mrs. IDA SULLIVAN

Date:    07 February 1944
Cert:    04915 
Place of Death: County: Knott   City or Town:  Hindman, Ky.
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:  Mrs. Ida SULLIVAN 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:   21 January 1865
Age:  79 years, 16 days
Birthplace:  Mich. 
Occupation:  House Keeper 
Industry or business: (blank)
Father Name:  Marcum BERCHLEY 
Father Birthplace:  ?  (transcribed as written) 
Mother Maiden Name:  Mary Jane BENTLEY 
Mother Birthplace:   Mich. 
Informant:   G. D. FRANKLIN, Hindman, Ky. 
Burial Place:  Emalena, Ky. 
Date:  09 February 1944 
Signature of funeral director:  Engles, Hazard, Ky.
Date received by local registrar:  29 February 1944 
Registrar's Signature: Ida Livingston
Date of Death:  07 February 1944 
I hereby certify that I attended deceased from 01 January 1944 to 07 February 1944, that I last saw -- alive on 07 February 1944, and that death occurred on the date stated above at 3 p.m.
Immediate cause of death:  Cancer of the breast 
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:  M. F. Kelley, M.D., Hindman, Ky.
Date signed:  21 February 1944 
Transcribed by Debbie Tamborski, 24 November 2010