Date: 17 January 1952
Cert: 01201
Place of Death: County: Knott
City or Town: Hindman
Length of stay (in this place): 20 years
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman Street Address:
(blank)
Full Name: Ray Bryan BAILEY
Date of Death: 17 January 1952
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 05 June 1927
Age: 24 years
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Ky.
Father's Name: W. T. BAILEY
Mother's Maiden Name: Hattie CODY
Was deceased ever in armed forces: Yes, W. W. 2
Social Security No.: 405-32-0429
Informant: Mrs. W. T. BAILEY
Disease or condition directly leading to death:
Poisoning
Interval between onset and death: (blank)
Due to: Pheanobarbital
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: Accident
Place of injury: (blank)
City or Town, County, State: Hindman, Knott, Ky.
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 17 January 1952 to
17 January 1952, that I last saw the deceased alive on 17
January 1952, and
that death occurred at 6 p.m., from the causes and on the
date stated above.
Date signed: 22 January 1952
Address: Hindman, Ky.
Signature: M. F. Kelley
Burial, Cremation or Removal: Burial
Date: 20 January 1952
Name of Cemetery or Crematory: Family Cemetery
Location: Hindman, Ky.
Date received by local registrar: 22 February 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman,
Ky.
Transcribed by Debbie Tamborski, 22 January 2011 |