Date: 18 March 1943
Cert: 09341
Place of Death: County: Knott City or
Town: Rural
Street No. or Location: Anco
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural,
give precinct: Red Fox, Ky.
Full Name: Luthar BREEDING
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Susan
Age of husband or wife if alive: 40 years
Birth date of deceased: 23 February 1902
Age: 39 years
Birthplace: Knott Co.
Occupation: Coal miner
Industry or business: (blank)
Father Name: William BREEDING
Father Birthplace: Knott Co.
Mother Maiden Name: Jane ADAMS
Mother Birthplace: Letcher Co., Ky.
Informant: Susan BREEDING, Red Fox, Ky.
Burial Place: Red Fox
Date: 21 March 1943
Signature of funeral director: Engle Und. &
Hdwe., Co., Hazard, Ky.
Date received by local registrar: 31 March 1943
Registrar's Signature: Ida Livingston
Date of Death: 18 March 1943
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: Head crushed in coal mines
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. R. Aker, M.D., Anco, Ky.
Date signed: 31 March 1943
Transcribed by Debbie Tamborski, 20 October 2010 |