DEATH CERTIFICATE

HULDA THORNSBERY

Date  01 June 1914
Cert:  16179
Place of Death: Voting Precinct:  McRoberts, Elkhorn, Letcher Co., KY.
Full Name:  Hulda THORNSBERY
Sex, Color or Race, Marital Status:  Female, White, Single
Date of Birth:  21 February 1912
Age: 02 years, 03 months, 10 days
Occupation:  nothing
Birthplace:  Knott Co., Ky.
Name of Father:  Andrew THORNSBERY
Birthplace Father:  Floyd Co., Ky.
Maiden name of Mother:  Rosanie SLONE
Birthplace Mother:  Knott Co., Ky.
Informant/Address:  Isom THORNSBERY, Kite, Ky.
Filed:  01 June 1914
Registrar:  John COLLINS
Death Date:  01 June 1914
I hereby certify that I attended deceased from 30 May 1914, to 01 June 1914, that I last saw her alive on 31 May 1914, and that death occurred, on the date stated above, at 3 p.m.
Cause of Death:  Acute Gastritis
Duration:  03 days
Contributory:  (blank)
Signed/Address:  F. M. Williams, M.D., 02 June 1914, McRoberts, Ky. 
Place of Burial or Removal:  Knott Co., Ky.
Date of Burial:  02 June 1914
Undertaker/Address:  none
Transcribed by Debbie Tamborski, 25 February 2010