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DEATH
CERTIFICATE
NANCY ANN WOOTEN
Date: 23 July 1948
Cert: 19429
Place of Death: County: Perry
City or Town: Tribby
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Perry
City or Town: Tribby
Full Name: Nancy Ann WOOTEN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: John WOOTEN
Age of husband or wife if alive: 76 years
Birth date of deceased: (blank)
Age: 73 years
Birthplace: Knott County, Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: Jim TERRY
Father Birthplace: Knott
Mother Maiden Name: Ellan STURGILL
Mother Birthplace: Knott
Informant: John WOOTEN, Tribby, Ky.
Burial Place: Knott
Date: 27 July 1948
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 05 August
1948
Registrar's Signature: Helen Buriss
Date of Death: 23 July 1948
I hereby certify that I attended deceased from 1946 to
23 July 1948, that I last saw him alive on 23 July 1948, and
that death occurred on the date stated above at 9 a.m.
Immediate cause of death: Cerebral Hemorrhage
Duration: 09 hours
Due to: Essential Hypertension
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. W. Gringles, M.D.,
Hardburly, Ky.
Date signed: 31 July 1948
Transcribed by Debbie Tamborski, 02 July 2010 |
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