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DEATH
CERTIFICATE
BETSEY TERRY
Date 05 November 1938
Cert: 05249
Place of Death: Voting Pct.: Hardburley, Perry Co., Ky.
Full Name: Betsey TERRY
Residence: Hardburley, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: (blank)
Date of Birth: (blank)
Age: 48 years
Occupation: Housekeeper
Birthplace: Vest, Ky.
Father Name: (blank)
Birthplace Father: (blank)
Mother Maiden Name: (blank)
Birthplace Mother: (blank)
Informant/Address: J. W. Watts, Hardburley, Ky.
Burial Cremation Removal Place: Holiday
Date: 06 November 1938
Undertaker/Address: G. W. Nicholson, Hazard, Ky.
Filed: 23 February 1939
Registrar: Virginia Combs
Death of Date: 05 November 1938
I hereby certify, That I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), death is said
to have occurred on the date stated above, at 6 p.m.
Cause of Death: Pulmonary Tuberculosis
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: H. W. Gingles, M.D.
Transcribed by Debbie Tamborski, 01 May 2010 |
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