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DEATH
CERTIFICATE
RUTH WATTS
Date 10 April 1947
Cert: 09233
Place of Death: County: Knox City or Town: Barbourville
Name of Hospital or Institution: Knox Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Amburgy
Full Name: Ruth WATTS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 01 November 1924
Age: 23 years, 07 months
Birthplace: Knott Co.
Occupation: (blank)
Industry or business: (blank)
Father Name: Harlan WATTS
Father Birthplace: Knott Co.
Mother Maiden Name: Belle ASHLEY
Mother Birthplace: Knott Co.
Informant: Harlan WATTS, Amburgey, Ky.
Burial Place: Ambergy, Ky.
Date: 13 April 1947
Signature funeral director: Maggard & Blair F. H., Hazard, Ky.
Date received by local registrar: 22 April 1947
Registrar's Signature: Bessie McDonald
Date of Death: 10 April 1947
I hereby certify that I attended deceased from 0 April 1947 to
10 April 1947, that I last saw her alive on 10 April 1947, and
that death occurred on the date stated above at 4:30 p.m.
Immediate cause of death: Fracture of skull, crushing injury
of left chest with fracture of ribs and hemo pneuma thorax
(left) (Truck and motorcycle accident)
Duration: 45 minutes
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: accident
Date of occurrence: 10 April 1947
Where did injury occur: highway
While at work: (blank)
Means of injury: Truck and motorcycle
Signature: T. R. Davies, M.D., Barboursville, Ky.
Date signed: 10 April 1947
Transcribed by Debbie Tamborski, 13 February 2010 |
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