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DEATH
CERTIFICATE
BILL ASHLEY
Date 03 March 1952
Cert: 06562
Place of Death: County: Boyd City or Town:
Ashland
Length of stay in hospital or community:
Name of Hospital or Institution: Dist. 4 State Tuberculosis
Hos., Ashland, Kentucky
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Red Fox
Full Name: Bill ASHLEY
Date of Death: 03 March 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 27 July 1901
Age: 50 years
Usual Occupation: Miner
Kind of Industry or business: Mining
Birthplace: Smithboro
Father's Name: John ASHLEY
Mother's Maiden Name: Nancy MULLIS
Was deceased ever in armed forces: No
Social Security No.: 407-10-0661
Informant: Hospital record
Disease or condition directly leading to death:
Pulmonary tuberculosis
Interval between onset and death: Approx. 4 years
Due to: (blank)
Other significant conditions: (blank)
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 13 August 1951 to
03 March 1952, that I
last saw the deceased alive on 03 March 1952, and that death occurred on
the date stated above at 3:15 a.m., from the causes and on the date
stated above.
Date signed: 03 March 1952
Address: Dist. 4 Tuberculosis Hos.
Signature: W. Duane Jones, M.D.
Burial, Cremation or Removal: Burial
Date: 05 March 1952
Name of Cemetery or Creamatory: Cornette Hill Cem.
Location: Sassafras, Ky.
Date received by local registrar: 03 March 1952
Registrar's Signature: Mrs. (illegible) Garin
Funeral director/address: Lazear Funeral Home by O. L.
Lazear
Transcribed by Debbie Tamborski, 20 February 2010 |
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