Date: 27 August 1948
Cert: 23455
Place of Death: County: Knott City or
Town: Tina, Ky. Rural
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: Tina Rural
Full Name: Gabe BREWER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: Infant
Age of husband or wife if alive: (blank)
Birth date of deceased: (blank)
Age: 04 hours
Birthplace: Tina, Ky.
Occupation: Infant
Industry or business: (blank)
Father Name: Pearl BREWER
Father Birthplace: Knott
Mother Maiden Name: Martha RITCHIE
Mother Birthplace: Knott Co.
Informant: Martha BREWER, Tina, Ky.
Burial Place: Tina, Ky.
Date: 27 August 1948
Signature of funeral director: Friends, Tina, Ky.
Date received by local registrar: 13 November 1948
Registrar's Signature: Rose B. Craft
Date of Death: 27 August 1948
I hereby certify that I attended deceased from 27 August 1948 to
27 August 1948, that I last saw him alive on 27 August 1948,
and that death occurred on the date stated above at 9 a.m.
Immediate cause of death: Don't know
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: M. F. Kelley, M.D., Hindman,
Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 22 December 2010 |