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DEATH
CERTIFICATE
JOE TERRY
Date: 24 January 1947
Cert: 03091
Place of Death: County: Floyd
City or Town: Martin
Hospital or Institution: Beaver Valley Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Estill
Full Name: Joe TERRY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Ella TERRY
Age of husband or wife if alive: 58 years
Birth date of deceased: 04 December
Age: 61 years
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: Miner (Coal)
Father Name: Bill TERRY
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Polly MAGGARD
Mother Birthplace: Knott Co., Ky.
Informant: Quentin TERRY, Lackey, Ky.
Burial Place: Wayland, Ky.
Date: 26 January 1947
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 26 February
1947
Registrar's Signature: Lucy Ransdell
Date of Death: 24 January 1947
I hereby certify that I attended deceased from 24 January 1947 to
24 January 1947, that I last saw him alive on (blank), and
that death occurred on the date stated above at 1:30 p.m.
Immediate cause of death: Myocardial heart
failure
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: C. L. Allen, M.D.,
Martin, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 26 June 2010 |
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