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DEATH
CERTIFICATE
LIDA WITT
Date 09 August 1941
Cert: 20834
Place of Death: County: Perry City or Town:
Hazard
Name of Hospital or Institution: Hazard Hosp. Co., Ky.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Rural #4
Full Name: Lida WITT
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: J. H. WITT
Age of husband or wife if alive: 39
Birth date of deceased: (blank)
Age: 38 years
Birthplace: Ky., Letcher Co.
Occupation: (blank)
Industry or business: (blank)
Father Name: Jim CAUDILL
Father Birthplace: Ky., Letcher Co.
Mother Maiden Name: Polly CAUDILL
Mother Birthplace: Ky., Letcher Co.
Informant: Jim CAUDILL, Smithsboro
Burial Place: Smithsboro
Date: 11 August 1941
Signature funeral director: Engle Und. & Hdw. Co., Hazard, Ky.
Date received by local registrar: 19 August 1941
Registrar's Signature: Kathryn S. Johnson
Date of Death: 09 August 1941
I hereby certify that I attended deceased from 06 August 1941 to
09 August 1941, that I
last saw him alive on 09 August 1941, and that death occurred on the date
stated above at 9:10 p.m.
Immediate cause of death: Nephritis
Due to: Pregnancy & hypertension
Major findings of operations: Caeserean section
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: J. E. Hagan, M.D., Hazard, Ky.
Date signed: 19 August 1941
Transcribed by Debbie Tamborski, 02 February 2010 |
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