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DEATH
CERTIFICATE
EDNA WATTS
Date 25 December 1919
Cert: 33165
Place of Death: Voting Precinct: #5, Letcher Co., Ky.
Full Name: Edna WATTS
Sex, Color or Race, Marital Status: Female, White,
Married
Date of Birth: 20 May 1895
Age: 24 years, 05 months, 05 days
Occupation: Housewife
Birthplace: Knott Co., Ky.
Name of Father: W. M. FRANKLIN
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Nancy Ann COMBS
Birthplace Mother: Letcher Co.
Informant/Address: Navire WATTS, Indian Bottom, Ky.
Filed: 03 January 1920
Registrar: R. B. Caudill
Death Date: 25 December 1919
I hereby certify that I attended deceased from 20 February
1919, to
25 December 1919, that I last saw her alive on 24 December
1919, and that death occurred, on the date stated above, at 2
a.m.
Cause of Death: Chronic Tuberculosis, rt. upper & lower
lobes, left upper lobes
Duration: 01 year, 02 months, 10 days
Contributory: (blank)
Signed/Address: John W. Moss, M.D., 03 January 1919,
Indian Bottom, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: (blank)
Date of Burial: (blank)
Undertaker/Address: (blank)
Transcribed by Debbie Tamborski, 06 March 2010 |
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