Bath County, Kentucky death certificate of Mary Ella Warner Craycraft

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Date: Sun, 26 Jan 2003
Darrell Warner
From: http://www.genrecords.net/emailregistry/vols/00001.html#0000008
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KENTUCKY DEATH CERTIFICATE
File number: 116 64 19517
Registrar's number: 50
Registration district number: 755
Primary registration district number: 4081
1.Place of death
   a. County: Bath
   b. City or town: Owingsville
   c. Length of stay in this place: nothing listed
   d. Full name of hospital or institution: Rt. 3
2. Usual residence
   a. State: Kentucky
   b. County: Bath
   c. City or town: Owingsville
   d. Street address: Route 3
3. Name of deceased
   a. First: Ella
   b. Middle: Warner
   c. Last: Craycraft
4. Date of death: July 9, 1964
5. Sex: female
6. Color or race: white
7. Married, never married, widowed or divorced: married
8. Date of birth: December 18, 1889
9. Age: 74
10a. Usual occupation: housewife
10b. Kind of business or industry: nothing listed
11. Birthpace: Kentucky
12. Citizen of what country: USA
13. Father's name: A. T. Warner
14. Mother's maiden name: Betty Reynolds
15. Was deceased ever in U.S. Armed Forces: no
16. Social security number: nothing listed
17. Informant: Ollie Craycraft
18. Cause of death:
   a. Immediate cause: coronary occlusion
   b. Due to: coronary thrombosis
   c. Due to: nothing listed
19. Was autopsy performed: no
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 (left blank) to 
(left blank) that I last saw the deceased alive (left blank) and that 
death occurred at 6:10 AM from the causes and on the date stated above.
23a. Date signed: July 10, 1964
23b. Address: Owingsville, Kentucky
23c. Signature: Ray Gregory Coroner
24a. Burial, cremation, removal: burial
24b. Date: July 11, 1964
24c. Name of cemetery or crematory: Kendall Springs Cemetery
24d. Location: Bath County, Kentucky
25a. Date received by local registrar: July 11, 1964
25b. Registrar's signature: Lena R. Brooks
26. Funeral director: can't read