|
DEATH
CERTIFICATE
JOHN MADDEN BREEDING
Date: 19 September 1946
Cert: 19107
Place of Death: County: Floyd City or Town: Wheelwright,
Ky.
Street No. or Location: Inland Steel Co. Mine
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky County:
Floyd
City or Town: Hi Hat, Ky.
Full Name: John Madden BREEDING
If Veteran Name War: (blank)
Social Security No.: 400-09-6702
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Martha Ann HALL Breeding
Age of husband or wife if alive: 48 years
Birth date of deceased: 04 April 1894
Age: 52 years,05 months, 15 days
Birthplace: Knott County, Ky.
Occupation: Safety Inspector
Industry or business: Coal
Father Name: William BREEDING
Father Birthplace: Letcher County, Ky.
Mother Maiden Name: Minerva HOLBROOK
Mother Birthplace: Letcher County, Ky.
Informant: Paul BREEDING, Hi Hat, Ky.
Burial Place: Buckingham, Ky.
Date: 22 September 1946
Signature of funeral director: Lloyd H. Preston, Pikeville,
Ky.
Date received by local registrar: 30 September 1946
Registrar's Signature: Lucy Ramsdell
Date of Death: 19 September 1946
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 10:50 a.m.
Immediate cause of death: Crushed chest. Fractured
neck and skull
Duration: (blank)
Due to: Slate fall in mines
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 19 September 1946
Where did injury occur: In coal mines
While at work: Yes
Means of injury: Slate fall
Signature & Address: J. W. Bailey, M.D., Wheelwright,
Ky.
Date signed: 22 September 1946
Transcribed by Debbie Tamborski, 07 June 2010 |
|