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DEATH
CERTIFICATE
MILES M. BATES
Date 05 October 1944
Cert: 23085
Place of Death: County: Letcher City or
Town:
Name of Hospital or Institution: Jackhorn
Length of stay in hospital or community: 02 yrs.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Kite
Full Name: Miles M. BATES
If Veteran Name War: no
Social Security No.: no
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 18 May 1861
Age: 83 years, 04 months, 17 days
Birthplace: Beaver, Kite, Ky.
Occupation: Farmer
Industry or business: Self
Father Name: John M. BATES
Father Birthplace: Ky.
Mother Maiden Name: Betsy HALL
Mother Birthplace: Ky.
Informant: Miles BATES, Jr., Hemphill, Ky.
Burial Place: Beaver, Kite, Ky.
Date: 07 October 1944
Signature of funeral director: Archie Craft, Whitesburg, Ky.
Date received by local registrar: 26 October 1944
Registrar's Signature: E. M. Collins
Date of Death: 05 October 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I
last saw him alive on (blank), and that death occurred on the date
stated above at 4 p.m.
Immediate cause of death: Carcinoma of liver
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: A. B. Carter, M.D., Fleming, Ky.
Date signed: 19 October 1944
Transcribed by Debbie Tamborski, 06 February 2010 |
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