Date: 04 March 1945
Cert: 06257
Place of Death: County: Knott Co. City or
Town: Anco, Ky.
Street Number or Location: Home at Anco, Ky.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Anco, Ky.
Full Name: Betty Lou WITT
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: 14 February 1945
Age: 18 days
Birthplace: Anco, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Ollie WITT
Father Birthplace: Seco, Ky.
Mother Maiden Name: Hazle MCTUSH
Mother Birthplace: Chavies, Ky.
Informant: Ollie WITT, Anco, Ky.
Burial Place: Sycamore, Ky.
Date: 05 March 1945
Signature of funeral director: Maggard, Hazard, Ky.
Date received by local registrar: 08 March 1945
Registrar's Signature: Rose B. Craft
Date of Death: 04 March 1945
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Premature and undeveloped
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: H. P. Duff, M.D., Kodak, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 01 December 2010 |