DEATH CERTIFICATE

RAY BRYAN BAILEY

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