DEATH CERTIFICATE

JAMES EVERETT BURKETT

Date 22 May 1939
Cert: 13170
Name:  James Everett BURKETT
Place of Death: Voting Pct. Lower Jones Fork #19, Lackey, Stumbo Memorial Hospital, Knott Co., KY
Residence: Glo, Ky.
Length of residence: (blank)
Male, White, Married
Husband or Wife of: Bessie BURKETT
Birth Date: 17 October 1898
Age: 40 years, 07 months, 22 days
Occupation: Miner
Place of Birth: Johnson Co., Ky.
Name of Father: Frank BURKETT
Birthplace Father: Johnson Co., Ky.
Maiden Name of Mother: Angie BOYD
Birthplace Mother: Boyd Co., Ky.
Informant: Herbert BURKETT, Glo, Ky.
Death Date: 22 May 1939
Cause of Death: Crush of chest
Manner of injury: Slate fell
Nature of injury: Crushed body
Signed:  M. T. Dotson, M.D., Lackey, Ky.
Burial Place:  Floyd Co., Ky.
Date of Burial:  (blank)
Undertaker:  Jones & Jones, Paintsville, Ky.
File Date:  22 May 1939
Registrar:  Rushionna Blair
Transcribed by Debbie Tamborski, 10 November 2009