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DEATH
CERTIFICATE
SHADE BARNETT
Date 15 October 1939
Cert: 25635
Place of Death: Voting Pct.: Jenkins
Hosp., Jenkins, Letcher Co., Ky.
Full Name: Shade BARNETT
Residence: Dwarf, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Blanche COMBS
Date of Birth: 1913
Age: 26 years
Occupation: Mining
Birthplace: Knott Co.
Father Name: Alfred BARNETT
Birthplace Father: Breathitt Co.
Mother Maiden Name: Leaner STACEY
Birthplace Mother: Knott Co.
Informant/Address: Brother: Wm. BARNETT
Burial Cremation Removal Place: Barnett Cem., Knott Co.,
Ky.
Date: 18 October 1939
Undertaker/Address: Johnson Funeral Home, Neon, Ky.
Filed: 18 October 1939
Registrar: E. M. Collins
Death of Date: 15 October 1939
I hereby certify, That I attended deceased from 06 October
1939 to
15 October 1939, that I last saw him alive on 15 October 1939,
death is said to have occurred on the date stated above, at
7:51 p.m.
Cause of Death: Lobar Pneumonia R. L. L.
Date of onset: 13 October 1939
Contributory causes: Appendicitis perforation & peritonitis
Date of onset: 06 October 1939
Name of operation: Appendectomy & Drainage
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: No
Signed/Address: J. W. (illegible), M.D., Jenkins, Ky.
Transcribed by Debbie Tamborski, 01 May 2010 |
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