Nicholas County, Kentucky death certificate of Amanda Florence Sorrell

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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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NICHOLAS COUNTY, KENTUCKY DEATH CERTIFICATE
File number: 116-68-7387
Registrar's number: 20
Registration district number: 1119
Primary registration district number: 7581
1. Name of deceased: Amanda Florence Sorrell
2. Sex: female
3. Date of death: March 16, 1968
4. Race: white
5. Age: 76 years
6. Date of birth: April 29, 1891
7. Place of death:
  a. County: Nicholas
  b. City or town: Carlisle
  c. Inside city limits: no
  d. Hospital or institution: Nicholas County, Hospital
8. State of birth: Kentucky
9. Citizen of what country: U. S. A.
10. Married, never married, widowed or divorced: never married
11. Surviving spouse: nothing listed
12. Social security number: 404-68-9512
13a. Usual occupation: housekeeper
13b. Kind of business or industry: own home
14. Usual residence
  a. State: Kentucky
  b. County: Nicholas
  c. City or town: Carlisle
  d. Inside city limits: no
  e. Street and number: Rte. #3
15. Father's name: George Sorrell
16. Mother's maiden name: Betty Warner
17. Informant: Mrs. Raymond Snapp of Millersburg, Kentucky
18a. Death was caused by: myocardial infarction
18b. Other significant conditions: severe obesity
19. Was autopsy performed: nothing listed
20. Accident, suicide or homicide: nothing listed
21. Certification of Physician: I attended the deceased from 
(nothing listed) to (nothing listed) and last saw him/her alive on 
(nothing listed)  I did/did not view the body after death (nothing listed).  
Death occurred on the place, on the date at 3:45 Am, to the best of my 
knowledge, due to the causes stated above.
22. Certification of Medical Examiner or Coroner: nothing listed
23a. Certifier name: V. R. Jenkins M. D.
23b. Signature: V. R. Jenkins M.D.
23c. Date signed: 3-16-1969
23d. Mailing Address of certifier: Chestnut Street, Carlisle, Kentucky 40311
24a. Burial, cremation or removal: burial
24b. Cemetery or crematory name: Carlisle Cemetery
24c. Location: Carlisle, Kentucky
24d. Date of burial: 3-18-1969
25a. Funeral director: George R. Carter,  mathers-Shearer of Carlisle, 
Kentucky 40311
25b. Name of embalmer: Taylor T. Mathers  #3722
26a. Registrar's signature: Eva F. Donavan
26b. Date received by local registrar: 3-19-1968