DEATH CERTIFICATE

 ROBERT CLYDE BREEDING

Date:   19 January 1941
Cert:   17945 
Place of Death: County: Knott     City or Town: Ritchie
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Ritchie
Full Name:  Robert Clyde BREEDING
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, yes, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  15 January 1941
Age: 04 days
Birthplace:  Knott Co., Ky.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Venyard BREEDING
Father Birthplace:  Hindman, Ky.
Mother Maiden Name:  Laura COMBS
Mother Birthplace:  Knott Co., Ky.
Informant:  Laura COMBS, Ritchie, Ky.
Burial Place:  Clear Creek
Date:  19 January 1941
Signature of funeral director: (blank)
Date received by local registrar:  31 July 1941
Registrar's Signature:  Macie Miller
Date of Death:  19 January 1941
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 1:00 a.m.
Immediate cause of death:  unknown
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: Elender Combs, Ritchie
Date signed:  (blank)
Transcribed by Debbie Tamborski, 11 October 2010