Date: 25 April 1942
Cert: 09533
Place of Death: County: Knott City or
Town: Hindman
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman
Full Name: John M. BAILEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 13 August 1847
Age: 85 years, 08 months, 12 days
Birthplace: Harlan Co., Ky.
Occupation: Attorney
Industry or business: (blank)
Father Name: Andrew J. BAILEY
Father Birthplace: Va.
Mother Maiden Name: Nancy SMITH
Mother Birthplace: Va.
Informant: W. T. Bailey, Hindman
Burial Place: (blank)
Date: 28 April 1942
Signature of funeral director: Engle Und. &
Hdwe. Co., Hazard, Ky.
Date received by local registrar: 30 April 1942
Registrar's Signature: Ida Livingston
Date of Death: 25 April 1942
I hereby certify that I attended deceased from 10 January 1924 to
25 April 1942, that I last saw him alive on 24 April 1942, and
that death occurred on the date stated above at 4 p.m.
Immediate cause of death: Abscess of the leg and
senility
Duration: (blank)
Due to: (blank)
Major findings of operations: none Of
autopsy: none
Accident, suicide, or homicide: no
Date of occurrence: no
Where did injury occur: none
While at work: no
Means of injury: (blank)
Signature & Address: M. F. Kelley, M.D., Hindman, Ky.
Date signed: 30 April 1942
Transcribed by Debbie Tamborski, 15 October 2010 |