Date: 31 January 1946
Cert: 09431
Place of Death: County: Knott City or
Town: Lackey, Ky. Rural
Name of Hospital or Institution: Stumbo Memo. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Lackey Rural
Full Name: Ruthie E. TERRY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Sam TERRY
Age of husband or wife if alive: 59 years
Birth date of deceased: 08 December 1886
Age: 59 years, 01 months, 23 days
Birthplace: Knott
Occupation: Housewife
Industry or business: (blank)
Father Name: John W. REYNOLDS
Father Birthplace: Knott
Mother Maiden Name: Elizabeth BRANHAM
Mother Birthplace: Knott Co.
Informant: Earnest TERRY, Lackey
Burial Place: Mallie, Ky.
Date: 04 February 1946
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 24 April 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 31 January 1946
I hereby certify that I attended deceased from 31 January 1946 to
31 January 1946, that I last saw him alive on 31 January 1946,
and that death occurred on the date stated above at 10:30 p.m.
Immediate cause of death: Coronary Occulsion
Duration: (blank)
Due to: Infarct Coronary
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: A. P. Hodge, M.D., Lackey, Ky.
Date signed: 24 April 1946
Transcribed by Debbie Tamborski, 15 December 2010 |