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DEATH
CERTIFICATE
RICHARD E. BOCKWAY
Date 25 September 1951
Cert: 23441
Place of Death: County: Perry City or Town:
Hazard
Length of stay in hospital or community:
Name of Hospital or Institution: Mt. Mary Hosp.
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Hindman
Full Name: Richard E. BOCKWAY
Date of Death: 25 September 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 05 July 1891
Age: 60 years
Usual Occupation: Plumber
Kind of Industry or business: Plumbing
Birthplace: Springfield, Ohio
Father's Name: unknown
Mother's Maiden Name: unknown
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Lucille BOCKWAY
Disease/condition directly leading to death: Coronary
occlusion
Interval between onset and death: 01 day
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: Hazard
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I
last saw the deceased alive on (blank), and that death occurred on
the date stated above at (blank), from the causes and on the date
stated above.
Date signed: 05 November 1951
Address: Hazard, Ky.
Signature: Martin Palmer, M.D.
Burial, Cremation or Removal: Burial
Date: 27 September 1951
Name of Cemetery or Creamatory: Morgan Cem.
Location: Emmalena, Knott, Ky.
Date received by local registrar: 08 November 1951
Registrar's Signature: Georgia P. (illegible)
Funeral director and address: Hindman Funeral Home
Transcribed by Debbie Tamborski, 17 February 2010 |
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