DEATH Certificate: V. Belle Kinkade, 1913, Ohio Co., KY ************************************************************************ USGENWEB ARCHIVES NOTICE: These electronic pages may NOT be reproduced in any format for profit or presentation by any other organization or persons. Persons or organizations desiring to use this material, must obtain the written consent of the contributor, or the legal representative of the submitter, and contact the listed USGenWeb archivist with proof of this consent. The submitter has given permission to the USGenWeb Archives to store the file permanently for free access. http://www.usgwarchives.net Transcribed by: Connie D. Hurley - ConnieDHurley1@webtv.net Date: 17 Sept 1999 *********************************************************************** Death Certficate -Rachel Kinkade (Harcher) Rachel Kinkade (Hatcher) Death Certificate Rachel Kinkade Certificate of Death State File No. 3036 Registration District No. 1125 Primary Registration District No. 2452 1)Place of Death (a) Ohio (b)City or Town Rockport (c)Name of Hospital or Institution 2)Usual Residence of Deceased: (a) State Kentucky (b) County Ohio (c)City or Town Rockport (d)Street......... (e) If Foreign born, How long in U.S.A..... 3)(a) Full Name Rachel Kinkade (b)If Veteran.........check mark. (c) Social Security No.........check mark. 4)Sex Female 5)Color or Race White 6) (a)Single Widowed Married Divorced Widowed (b)Name of Husband or Wife... check mark (c)Age of Husband or Wife if Alive check mark 7) Birth Date of Deceased month Oct. day 16 yr 1874 8) Age 76 Months 2 Days 27 9) Birthplace Kentucky 10) Usual Occupation Housekeeper 11)Industry 12)Fathers Name C.C. (Kit) Hatcher 13) Birthplace of Father Kentucky 14) Mothers Maiden Name Unknown 15)Birthplace of Mother ......................... 16) (16a) Informants Own Signature Christopher Kinkade (b) Echoles KY 17)Burial , Cremation, or Removal Burial Place Rockport Date Jan. 14, 1941 18)(18a) Signature of Funeral director Alvin Chinn (b) Address McHenry Ky 19)(19a)Date received by local registrar 1 / 6 / 41 9b) Registrar Signature Dorthy (unclear what signature is ) Medical Certificate 20) Date of Death Jan. 13, 1941 21) I hereby certify that I attended the deceased from........19....... to........19..... that I last saw h... alive on..... and that occurred on the date above stated above 9:30p.m. immediate cause of death (Here very faint the number 33 is written) Due to Flu To the best of my knowledge other conditions..... Major Findings...... of operations........ of autopsy...... 22)if death was due to external cause (a)Accident, suicide, or homicide(specify) (b)Date of occurrence (c)Where did injury occur? in or about home,or farm, in industrial place. In public place...... Specify place. 23)Signature P.D Posh ??? Heath Office Address Hartford Ky Date Sighed 1 13 41