ViewsWatchersBrowse |
Elizabeth Warner
b.25 Aug 1892 Bath, Kentucky, United States
d.8 Jan 1964 Louisville, Jefferson, Kentucky, United States
Family tree▼ (edit)
m. 28 Jan 1883
Facts and Events
KENTUCKY DEATH CERTIFICATE File number: 116 64 1154 Registrar's number: 1019 Registration district number: 755 Primary registration district number: 2278 1.Place of death a. County: Jefferson b. City or town: Louisville c. Length of stay in this place: 09 d. Full name of hospital or institution: St. Anthony Hospital 2. Usual residence a. State: Kentucky b. County: Jefferson c. City or town: Eastwood d. Street address: not listed 3. Name of deceased a. First: Bessie b. Middle: Warner c. Last: Jones 4. Date of death: January 8, 1964 5. Sex: female 6. Color or race: white 7. Married, never married, widowed or divorced: married 8. Date of birth: August 25, 1892 9. Age: 71 10a. Usual occupation: housewife 10b. Kind of business or industry: nothing listed 11. Birthplace: Kentucky 12. Citizen of what country: USA 13. Father's name: Andy Warner 14. Mother's maiden name: nothing listed 15. Was deceased ever in U.S. Armed Forces: no 16. Social security number: nothing listed 17. Informant: Mr. A. T. Jones 18. Cause of death: a. Immediate cause: Liver (primary) b. Due to: nothing listed c. Due to: nothing listed 19. Was autopsy performed: not marked 20. Accident, suicide, or homicide: nothing marked 21a. Describe how injury occurred: nothing listed 21b. Time of injury: nothing listed 22. I hereby certify that I attended the deceased from December 24, 1962 to January 8, 1964 that I last saw the deceased alive January 7, 1964 and that death occurred at 6:10 AM from the causes and on the date stated above. 23a. Date signed: January 10, 1964 23b. Address: Middelton, Kentucky 23c. Signature: Dr. (can't read name) MD 24a. Burial, cremation, removal: burial 24b. Date: January 9, 1964 24c. Name of cemetery or crematory: Louisville Memorial Gardens East 24d. Location: Crestwood, Kentucky 25a. Date received by local registrar: January 15, 1964 25b. Registrar's signature: Ronald C. Kelsay 26. Funeral director: M. A. Stoess & Sons of Crestwood, Kentucky References
|