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DEATH
CERTIFICATE
HAYDEN BURKHART
Date 02 August 1932
Cert: 20058
Place of Death: Voting Pct: No. 26, Hilton's, Perry Co.,
Ky.
Full Name: Hayden BURKHART
Residence: (blank)
Length of Residence in city where death occurred:
(blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Date of Birth: 17 January 1931
Age: 01 years, 06 months, 16 days
Occupation: (blank)
Birthplace: Sassafras, Ky.
Father Name: Edgar BURKHART
Birthplace Father: Lee City, Ky.
Mother Maiden Name: Eliza RITCHIE
Birthplace Mother: Tina, Ky.
Informant/Address: Edgar BURKHART, Whitesburg, Ky.
Burial Cremation Removal Place: Hilton's
Date: 03 August 1932
Undertaker/Address: Home made, cared by family
Filed: 13 August 1932
Registrar: J. P. Boggs
Death of Date: 02 August 1932
I hereby certify, That I attended deceased from 02 August 1932
to 02 August 1932, that I last saw him alive on 02 August
1932, death is said to have occurred on the date stated above,
at 3:30 p.m.
Cause of Death: Marasmus
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: (blank)
What test confirmed diagnosis: clinical
Autopsy: No.
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: D. D. Carr, M.D., Hazard, Ky.
Transcribed by Debbie Tamborski, 31 March 2010 |
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