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DEATH
CERTIFICATE
ELLA TERRY
Date: 08 March 1949
Cert: 09224
Place of Death: County: Floyd City or Town:
Wayland
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Wayland, Ky. Street Address: (blank)
Full Name: Ella TERRY
Date of Death: 08 March 1949
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 26 April 1891
Age: 58 years
Usual Occupation: (blank)
Kind of Industry or business: Domestic
Birthplace: Raven, Ky.
Father's Name: Leonard GIBSON
Mother's Maiden Name: Rhoda MARTIN
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Quentin TERRY
Disease/condition directly leading to death: Cerebral
Hemorrhage
Interval between onset and death: (blank)
Due to: Hypertension
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 09 March 1949
Address: Martin
Signature: W. J. Ryan, Emb.
Burial, Cremation or Removal: (blank)
Date: 1949
Name of Cemetery or Crematory: Collins
Location: Wayland, Ky.
Date received by local registrar: 12 May 1949
Registrar's Signature: Lucy Ransdell
Funeral director & address: G. D. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 14 July 2010 |
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