Date: 26 April 1941
Cert: 13042
Place of Death: County: Knott Co. City or
Town: Pinetop, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Pinetop
Full Name: Bobby BENTLEY
If Veteran Name War: (blank)
Social Security No.: 403-12-2172
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Ruth ALLEN BENTLEY
Age of husband or wife if alive: 18 years
Birth date of deceased: 11 September 1914
Age: 27 years, 04 months, 14 days
Birthplace: Pinetop, Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: Irvin BENTLEY
Father Birthplace: Letcher Co.
Mother Maiden Name: Tennessee VANCE
Mother Birthplace: Floyd Co.
Informant: Mrs. Nola ADAMS, Pinetop, Ky.
Burial Place: Pinetop
Date: 29 April 1941
Signature of funeral director: (blank)
Date received by local registrar: 05 May 1941
Registrar's Signature: Macie Miller
Date of Death: 26 April 1941
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 (blank)
Immediate cause of death: Shot to death
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Homicide
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: No
Means of injury: Gunshot wounds
Signature & Address: J. W. Duke, M.D.
Date signed: (blank)
Transcribed by Debbie Tamborski, 08 October 2010 |