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 |