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DEATH
CERTIFICATE
CHARLES BERNARD BOWLING
Date: 18 September 1953
Cert: 19603
Place of Death: County: Shelby City or Town:
Rural
Length of stay (in this place): (blank)
Street address or location: 07 miles east of Shelbyville Rt.
60
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Hazard Street Address: (blank)
Full Name: Charles Bernard BOWLING
Date of Death: 18 September 1953
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 22 July 1930
Age: 23 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Knott County
Father's Name: John C. BOWLING
Mother's Maiden Name: Elizabeth HUGHES (illegible)
Was deceased ever in armed forces: Yes, Korean War
Social Security No.: 405-32-1974
Informant: John C. BOWLING
Disease or condition directly leading to death: Laceration of
brain
Interval between onset and death: Instant
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: accident
Place of injury: Hiway
City or Town, County, State: Rural, Shelby, Ky.
Time of Injury: 18 September 1953 1:45 a.m.
Injury occurred at work: Not while at work
How did injury occur: auto accident
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at 1:45 a.m., from the causes and on the
date stated above.
Date signed: 22 September 1953
Address: Shelbyville, Ky.
Signature: L. A. Wahle, Coroner
Burial, Cremation or Removal: Burial
Date: 20 September 1953
Name of Cemetery or Crematory: Riverside
Location: Hazard, Ky.
Date received by local registrar: 22 September 1953
Registrar's Signature: Mary Ann Clemmons
Funeral director & address: Maggard & Garrett,
Hazard, Ky.
Transcribed by Debbie Tamborski, 13 August 2010 |
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