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DEATH
CERTIFICATE
Mrs. SUSIE TADE
Date: 29 April 1944
Cert: 10794
Place of Death: County: Boyd City or Town:
Ashland
Street No. or Location: Residence -1825 Greenup Ave.
Length of stay in hospital or community: 33 years
Usual Residence of Deceased: State: Kentucky County:
Boyd
City or Town: Ashland Street No.: 1825
Greenup Ave.
Full Name: Mrs. Susie TADE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widow
Husband or Wife of: John TADE
Age of husband or wife if alive: Deceased - 50 years
Birth date of deceased: 15 March 1860
Age: 84 years, 14 days
Birthplace: Knott Co., Ky.
Occupation: Domestic
Industry or business: (blank)
Father Name: Daniel PRIDEMORE
Father Birthplace: unknown
Mother Maiden Name: Rebecca GILBERT
Mother Birthplace: unknown
Informant: (Daughter) Rachel ROBERTSON, 1825 Greenup
Ave., City
Burial Place: Dixon Cemetery
Date: 01 May 1944
Signature of funeral director: John (illegible) Ashland, Ky.
Date received by local registrar: 13 May 1944
Registrar's Signature: Mrs. C. P. Garten
Date of Death: 29 April 1944
I hereby certify that I attended deceased from 23 April 1944 to
26 April 1944, that I last saw him alive on 26 April 1944, and
that death occurred on the date stated above at 4:15 p.m.
Immediate cause of death: Lobar Pneumonia
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: (illegible) L. Allen, M.D.,
Ashland, Ky.
Date signed: 02 May 1944
Transcribed by Debbie Tamborski, 04 June 2010 |
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