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DEATH
CERTIFICATE
MALLIE YOUNG
Date: 22 March 1950
Cert: 23752
Place of Death: County: Perry City or Town:
Lots Creek
Length of stay (in this place): (blank)
Street address or Location: Home
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Cordia Street Address: (blank)
Full Name: Mallie YOUNG
Date of Death: 22 March 1950
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 25 June 1900
Age: 49 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott County, Ky.
Father's Name: Samuel SINGLETON
Mother's Maiden Name: Kizzie RICHIE
Was deceased ever in armed forces: no
Social Security No.: (blank)
Informant: Mrs. George GAYHEART
Disease or condition directly leading to death: Cancer
of cervix & (illegible)
Interval between onset and death: 06 months
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: (blank)
Address: Hazard, Ky.
Signature: (illegible)
Burial, Cremation or Removal: Burial
Date: 25 March 1950
Name of Cemetery or Crematory: Young
Location: Knott County, Ky.
Date received by local registrar: 09 April 1950
Registrar's Signature: Georgia Pendleton
Funeral director & address: Johnson's, Hazard, Ky.
Transcribed by Debbie Tamborski, 21 July 2010 |
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