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DEATH
CERTIFICATE
KATHLENE ROBINSON
VANHORN
Date 14 August 1939
Cert: 19312
Place of Death: Voting Pct.: Kings Daughters Hospital,
Ashland, Boyd Co., Ky.
Full Name: Kathlene ROBINSON VANHORN
Residence: 2216 Front
Length of Residence: 02 years
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Willard J. VANHORN
Date of Birth: 20 May 1919
Age: 20 years, 02 months, 24 days
Occupation: At home
Birthplace: Knott Co., Ky.
Father Name: John ROBINSON
Birthplace Father: Knott Co., Ky.
Mother Maiden Name: Lucinda JONES
Birthplace Mother: Knott Co., Ky.
Informant/Address: Willard J. VANHORN, Ashland, Ky.
Burial Cremation Removal Place: Dixon Cem.
Date: 16 August 1939
Undertaker/Address: Lazear Funeral Home, Ashland
(illegible)
Filed: 14 August 1939
Registrar: Mrs. (illegible)
Death of Date: 14 August 1939
I hereby certify, That I attended deceased from 10 August 1939 to
14 August 1939, that I last saw her alive on 14 August 1939, death is said
to have occurred on the date stated above, at 11:00 a.m.
Cause of Death: (illegible) & Rupt. Uterus
Date of onset: (blank)
Contributory causes: Pregnancy & Toxemia
Name of operation: (illegible) Date of:
(illegible) August 1939
What test confirmed diagnosis: (blank)
Was there an autopsy: No
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: No
Signed/Address: (illegible)
Transcribed by Debbie Tamborski, 05 May 2010 |
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