DEATH CERTIFICATE

 JOHN M. BAILEY

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