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DEATH
CERTIFICATE
FLORENCE WHITAKER
Date: 22 June 1944
Cert: 13464
Place of Death: County: Floyd City or Town:
Hueysville
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Hueysville, Ky.
Full Name: Florence WHITAKER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: J. M. WHITAKER
Age of husband or wife if alive: 66 years
Birth date of deceased: 10 October 1901
Age: 42 years, 08 months, 12 days
Birthplace: Knott Co., Ky.
Occupation: Kept house raised family
Industry or business: (blank)
Father Name: Harrison SLONE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Betsy Ann CAUDILL
Mother Birthplace: Knott Co., Ky.
Informant: J. M. WHITAKER, Hueysville, Ky.
Burial Place: Hueysville, Ky.
Date: 23 June 1944
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 29 June 1944
Registrar's Signature: Winifred Norris
Date of Death: 22 June 1944
I hereby certify that I attended deceased from 01 January 1944 to
22 June 1944, that I last saw him alive on (blank), and that
death occurred on the date stated above at 4 p.m.
Immediate cause of death: She had cancer of (?Fances?
illegible), nose inside palate mouth. Known bout one
year in all sick disable at least 12 mos. in all
Duration: 12 months
Due to: (blank)
Major findings of operations: (blank) Of Autopsy:
None
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: M. M. Collins, M.D., Lackey, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 04 June 2010 |
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