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DEATH
CERTIFICATE
HERMAN BATES
Date: 12 November 1947
Cert: 24840
Place of Death: County: Letcher City or Town: Payne Gap,
Ky.
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: Payne Gap, Ky.
Full Name: Herman BATES
If Veteran Name War: (blank)
Social Security No.: ?
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Iva Harriett DRAUGHN
Age of husband or wife if alive: 60 years
Birth date of deceased: ? February 1885
Age: 62 years, 08 months, ? days
Birthplace: Knot County, Ky.
Occupation: Miner
Industry or business: Elkhorn Coal Co., Kona, Ky.
Father Name: Sylvian TAYLOR
Father Birthplace: Va.
Mother Maiden Name: Martha BATES
Mother Birthplace: Kentucky
Informant: Mrs. Viola AKERS, Jenkins, Ky.
Burial Place: Whitaker, Ky.
Date: 15 November 1947
Signature of funeral director: (Cra?? illegible) Funeral Home,
Neon, Ky. (illegible)
Date received by local registrar: 21 November 1947
Registrar's Signature: E. M. Collins
Date of Death: 12 November 1947
I hereby certify that I attended deceased from 01 May 1947 to
12 November 1947, that I last saw him alive on 12 November
1947, and that death
occurred on the date stated above at 3:30 p.m.
Immediate cause of death: Malignancy of stomach Hemorrhage
Duration: 05 months
Due to: (blank)
Major findings of operations: None Of
Autopsy: None
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: B. F. Wright, M.D., Seco, Ky.
Date signed: 20 November 1947
Transcribed by Debbie Tamborski, 22 June 2010 |
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