DEATH CERTIFICATE

RUBEN BAILEY

Date:   01 October 1956
Cert: # 56-27253
Place of Death: County: Knott  City or Town: Handshoe - Rural
Length of stay (in this place): (blank)
Full Name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Handshoe           Residence on a Farm?:   Yes
Street Address: (blank)     Residence inside City Limits?:  No
Full Name:    Ruben BAILEY
Date of Death:  01 October 1956 
Sex, Color or Race, Marital Status:   Male, White, Married
Date of Birth:   26 May 1881
Age:  75 years
Usual Occupation:  Farmer
Kind of Industry or business: (blank)
Birthplace:  Ky. 
Father's Name:  Gardner BAILEY  
Mother's Maiden Name:  Susanne MARSHALL 
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Green BAILEY 
Disease/condition directly leading to death: Coronary occlusion
Interval between onset and death:  (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Describe how injury occurred:  (blank)
Time of injury:  (blank)
Injury occurred at work: (blank)
Place of injury: (blank)
City, Town or Location, County, State: (blank)
Dead on arrival 01 December 1956
Date signed:   (blank)
Address:  Martin, Ky. 
Signature:    L. C. Brown, M.D.
Burial, Cremation or Removal: Burial
Date:    04 October 1956
Name of Cemetery or Crematory:   Family
Location:   Handshoe, Ky.
Date received by local registrar:   07 January 1957
Registrar's Signature: Myrtle Slone
Funeral director & address:   Hall Bros., Martin, Ky.
Transcribed by Debbie Tamborski, 25 April 2012