Date: 21 July 1949
Cert: 14552
Place of Death: County: Knott
City or Town: Bath, Ky.
Length of stay (in this place): (blank)
Street address or location: at home
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Bath, Kentucky Street Address:
(blank)
Full Name: Rachael WARD
Date of Death: 21 July 1949
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 18 September 1881
Age: 67 years, 10 months, 03 days
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Cordia, Kentucky
Father's Name: Ruben GHENT
Mother's Maiden Name: Nancy Ann SMITH
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Coy WARD, Bath, Ky.
Disease or condition directly leading to death:
Hypertensive Heart Disease
Interval between onset and death: ? (transcribed as
written)
Due to: (blank)
Other significant conditions: (from History of case)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at 7 a.m., from the causes and on the
date stated above.
Date signed: 26 July 1949
Address: Whitesburg, Ky.
Signature: R. D. Collins, M.D.
Burial, Cremation or Removal: Burial
Date: 23 July 1949
Name of Cemetery or Crematory: Hale Cemetery
Location: Bath, Kentucky
Date received by local registrar: 30 July 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Archie Craft,
Whitesburg, Ky.
Transcribed by Debbie Tamborski, 08 January 2011 |