Death Certificate
Nancy Ann (Johnson) Hodges

Submitted by  Kathy Hines

  Kentucky Certificate of Death
  Registration District No. 835
  Primary Registration District No. 6451
  File No. 14424
  Registered No. 73
  County Laurel
  City or town: Rural
  Name of hospital or facility: Maplesville P.O.

  Full Name: Nancy Ann Hodges
  Sex: F
  Color: White
  Marital Status: M
  Name of HUSBAND or WIFE: Robert Hodges
  Age of husband or wife if alive: 77 years
  Date of Birth of deceased: Jan 22, 1867
  Age: 77 yrs, 5 mos., 0 dys.

  Birthplace: Laurel Co Ky
  Occupation: Housewife
  Name of Father: Hiram Johnson
  Birthplace of Father: Laurel Co.
  Maiden Name of Mother: Patsy Keen
  Birthplace of Mother: Tenn.
  Informant's own signature: Sim Hodges
  (Address) Maplesville Ky Laurel Co.
  Burial, cremation, or removal: Old Salem Cem. Date of burial: June 23, 1944
  Undertaker: House Funeral Home
  (Address) London Ky
  Filed: 7-8, 1944 Ruth Gaines Registrar

  [right hand column of the death certificate]
  Usual residence of deceased: Kentucky, Laurel, Maplesville
  If foreign born, how long in the U.S.A.? Native
  Date of Death: June 22, 1944
  I Hereby Certify That I attended deceased from --, 1944 to June 22, 1944. I last saw him alive
  on June 10, 1944, and that death is said to have occurred on the date stated above, at 7 Am.
  Cause of Death: Diabetic Gangrene
  Major findings of operations: 61
  (Signed) J.W. Crook, M.D.
  (Address) London Ky Date signed: [blank]

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