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DEATH
CERTIFICATE
SUSIE TERRY
Date 18 July 1939
Cert: 23098
Name: Susie TERRY
Place of Death: Voting Pct. Mousie, Lower Jones Fork #19,
Stumbo Memorial Hospital, Knott Co., KY
Residence: Mousie, Ky.
Length of residence: (blank)
Female, White, Married
Husband or Wife of: Sam TERRY
Birth Date: 01 July 1877
Age: 62 years, 17 days
Occupation: Housewife
Place of Birth: Knott Co.
Name of Father: Ambrose AMBURGEY
Birthplace Father: Knott
Maiden Name of Mother: Hanah MARTIN
Birthplace Mother: Floyd Co.
Informant: Sam TERRY, Mousie
Death Date: 18 July 1939
Cause of Death: Hypertension, Mitral Stenosis, nephritis
Signed: C. B. Ison, M.D., Lackey, Ky.
Burial Place: Hindman
Date of Burial: 19 July 1939
Undertaker: G. D. Ryan, Martin
File Date: 15 August 1939
Registrar: Rushionna Blair
Transcribed by Debbie Tamborski, 21 November 2009 |
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