Date: 23 February 1943
Cert: 04285
Place of Death: County: Knott City or
Town: Hindman
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: Hindman, Ky.
Full Name: Troy Melvin BUTCHER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 09 November 1942
Age: 03 months, 14 days
Birthplace: Tennessee
Occupation: (blank)
Industry or business: (blank)
Father Name: unknown
Father Birthplace: (blank)
Mother Maiden Name: Betty BUTCHER
Mother Birthplace: Va.
Informant: Atta KILGORE, Hindman
Burial Place: Hindman
Date: 23 February 1943
Signature of funeral director: R. C. Kilgore, Hindman,
Ky.
Date received by local registrar: 23 February 1943
Registrar's Signature: Ida Livingston
Date of Death: 23 February 1943
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 (blank)
Immediate cause of death: Pneumonia
Duration: (blank)
Due to: Improper feeding
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: J. W. Duke, M.D., Hindman
Date signed: 23 February 1943
Transcribed by Debbie Tamborski, 20 October 2010 |