Date: 14 June 1944
Cert: 14392
Place of Death: County: Knott City or
Town: Cordia, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Cordia, Ky. Rural
Full Name: Nancy CORNETT YOUNG
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Nancy YOUNG (transcribed as written)
Age of husband or wife if alive: (blank)
Birth date of deceased: 30 April 1865
Age: 79 years, 01 months, 14 days
Birthplace: Kentucky
Occupation: Housewife
Industry or business: (blank)
Father Name: Robert CORNETT
Father Birthplace: Kentucky
Mother Maiden Name: Adeline BRASHERES
Mother Birthplace: Kentucky
Informant: (blank)
Burial Place: Young Cemetery
Date: 14 June 1944
Signature of funeral director: Tom Dobson, Anco, Ky.
Date received by local registrar: 24 June 1944
Registrar's Signature: Ida Livingston
Date of Death: 14 June 1944
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 2 a.m.
Immediate cause of death: Accute dilatation of the heart
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: M. F. Kelley, M.D., Hindman,
Ky.
Date signed: 24 June 1944
Transcribed by Debbie Tamborski, 26 November 2010 |