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DEATH
CERTIFICATE
SHADE E. ANDERSON
Date 22 December 1951
Cert: 25416
Place of Death: County: Letcher City or Town:
Burdine
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: Wess Anderson, Residence
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Wheelwright
Full Name: Shade E. ANDERSON
Date of Death: 22 December 1951
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 13 June 1900
Age: 51 years, 06 months, 9 days
Usual Occupation: Miner
Kind of Industry or business: Inland Steal Coal Co.
Birthplace: Kentucky
Father's Name: Noah ANDERSON
Mother's Maiden Name: Unknown
Was deceased in ever in armed forces: No
Social Security No.: 400-01-8375
Informant: Kyle Morris ANDERSON
Disease or condition directly leading to death: Acute
myocardial failure
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: Acute (illegible)
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 22 November
1951 to 22 November 1951, that I
last saw the deceased alive on dead when seen, and that death occurred on
the date stated above at 2:00 p.m., from the causes and on the date
stated above.
Date signed: 27 December 1951
Address: Jenkins, Ky.
Signature: T. M. Perry, M.D.
Burial, Cremation or Removal: Burial
Date: 26 December 1951
Name of Cemetery or Creamatory: Hall Cemetery
Location: Fleming, Ky.
Date received by local registrar: 27 December 1951
Registrar's Signature: G. W. Collins
Funeral director and address: Craft Funeral Home, Neon,
Ky.
Transcribed by Debbie Tamborski, 17 February 2010 |
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