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DEATH
CERTIFICATE
D. K. BROWN
Date: 18 October 1953
Cert: 23365
Place of Death: County: Letcher City or Town:
Jeremiah, Ky.
Length of stay (in this place): (blank)
Street address or location: Home
Usual Residence of Deceased: State: Kentucky County: Letcher
City or Town: Jeremiah, Ky. Street Address: (blank)
Full Name: D. K. BROWN
Date of Death: 18 October 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 17 October 1900
Age: 53 years, 00 months, 01 days
Usual Occupation: Miner
Kind of Industry or business: Invalid
Birthplace: Knot Co., Ky.
Father's Name: William BROWN
Mother's Maiden Name: Sarah CAUDILL
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Joe BROWN
Disease/condition directly leading to death: Brain Tumor -
Benign
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: none
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from January 1953 to
15 October 1953, that I last saw the deceased alive on 15
October 1953, and
that death occurred at 6 a.m., from the causes and on the
date stated above.
Date signed: 18 October 1953
Address: Whitesburg, Ky.
Signature: B. C. Bach, M.D.
Burial, Cremation or Removal: Burial
Date: 20 October 1953
Name of Cemetery or Crematory: Family Cem.
Location: Jeremiah, Ky.
Date received by local registrar: 09 November 1953
Registrar's Signature: G. W. Collins
Funeral director/address: Craft Funeral Home,
Whitesburg, Ky.
Transcribed by Debbie Tamborski, 13 August 2010 |
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