Full Name:  Alex Cox    
COMMONWEALTH OF KENTUCKY
Department of Health
Division Of Vital Statistics
CERTIFICATE OF DEATH
        File No. 116    64-   39
        Registrarās No. 18

Registration District No. 60           Primary Registration District No. 2031

Name of Deceased:   Alex Cox          Date of Death:  January 22, 1964
Place of Death:  County:  Bell    City of Town:  Pineville
Hospital or Institution:  Pineville Community Hosp.

Sex:  Male         Color or Race:   White          Marital Status:  Married
Date of Birth:  10-17-1879 Age:  84 yrs, 3 months, 5 days
Birthplace:  Kentucky          Citizen of what country:   USA
Usual Residence:  State:  KY      County:  Knox      City or Town:  Grays, KY
Residence on a farm:  No  Is Residence Inside City Limits:  No

Fatherās Name:  Jess Cox  Motherās Maiden Name:  Mattie Trosper
    (NOTE:  Mattie Trosper was his wife, NOT his mother)

Informant:  Otis Cox  (Son)

Medical Certification:
Cause of Death:  (a)  Uremia       Interval between onset and death:  3 weeks
Due to:  (b)  Arterosclerotic cardiovascular renal disease     
                    Interval between onset and death:  5 years
Was autopsy performed:  No
 

I hereby certify that I attended the deceased from Jan. 5, 1964 to Jan. 22, 1964, that I last saw the deceased alive on January 22, 1964, and that death occurred at 7:30 a.m. from the causes and on the date stated above.     Signed:  George M. Asher,  M.D.
      January 28, 1964      Pineville, KY

Burial, 1-26-64  Grays Cemetery,  Grays, KY
Funeral Director:  James S. Durham    Pineville, KY
Date recād by local reg.  1964;  Registrarās Signature:  Edward Smith

NOTE:  Anything typed in parenthesis is added by the transcriber and is not on the death certificate. 
 

transcribed by Kristi Cox

     
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