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DEATH
CERTIFICATE
SAMUEL M. BOGGS
Date 31 August 1933
Cert: 19832
Place of Death: Voting Pct. No. 25, Hazard Hospital Co., Inc.,
Hazard, Perry Co., Ky.
Full Name: Samuel M. BOGGS
Residence: Rock Branch, Typo, Ky.
Length of Residence: 04 years
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: (Alley crossed out) May COMBS
Date of Birth: 30 August 1877
Age: 56 years, 01 days
Occupation: Civil Engineer - Farmer
Birthplace: Emalina, Knott Co., Ky.
Father Name: Harvey BOGGS
Birthplace Father: Eolia, Letcher Co., Ky.
Mother Maiden Name: Pollyann COMBS
Birthplace Mother: Combs, Perry Co., Ky.
Informant/Address: J. P. Boggs, Hazard, Ky.
Burial Cremation Removal Place: Rock Branch
Date: 02 September 1933
Undertaker/Address: Harve Engle, Hazard, Ky.
Filed: 05 September 1933
Registrar: J. P. Boggs
Death of Date: 31 August 1933
I hereby certify, That I attended deceased from 28 August 1933 to
31 August 1933, that I last saw him alive on 31 August 1933, death is said
to have occurred on the date stated above, at 6 p.m.
Cause of Death: Gunshot wound
through hip and piercing intestines. Was operated on in
Hazard Hospital by Dr. J. E. Hagan and by R. M. Brown
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: Laparotomy
Date of: 28 August 1933
What test confirmed diagnosis: Operation
Was there an autopsy: No
Accident, suicide, homicide: Accident
Date of Injury: 28 August 1933
Where did injury occur: In field near his home
Specify whether injury occurred industry, home, public place:
In field near his home
Manner of injury: 9 year old son accidently
shot him with 22 (illegible)
Nature of injury: (blank)
Related to occupation: No
Signed/Address: J. P. Boggs, M.D., Hazard, Ky.
Transcribed by Debbie Tamborski, 01 April 2010 |
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