|
DEATH
CERTIFICATE
LINDA GLORIA WATTS
Date 04 November 1950
Cert: 26242
Place of Death: County: Perry City or Town:
Hazard
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: Mount Mary Hospital
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Cody
Full Name: Linda Gloria WATTS
Date of Death: 04 November 1950
Sex, Color/Race, Marital Status: Female, White, Never
married
Date of Birth: 03 November 1950
Age: 10 1/2 hours
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Cody, Ky.
Father's Name: Leonard B. WATTS
Mother's Maiden Name: Dixie FRANCE [sic]
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Leonard B. WATTS
Disease or condition directly leading to death: Cerebral
hemorrhage due to open cranium in posterior & large sac behind
head congenital
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
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 03 November
1950 to 04 November 1950, that I
last saw the deceased alive on 04 November 1950, and that death occurred on
the date stated above at 4:50 a.m., from the causes and on the date
stated above.
Date signed: (blank)
Address: (blank)
Signature: W. O'Donnell, M.D.
Burial, Cremation or Removal: Removal
Date: 04 November 1950
Name of Cemetery or Creamatory: Family Cemetery
Location: Cody, Ky.
Date received by local registrar: 04 December 1950
Registrar's Signature: Georgia Pendleton
Funeral director and address: (blank)
Transcribed by Debbie Tamborski, 17 February 2010 |
|