DEATH CERTIFICATE

CLAYTON CALHOUN

Date:  05 May 1950
Cert:  18775 
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): All of life
Street address or location: Amburgey, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Rural     If rural give precinct:  Amburgey
Full Name:  Clayton CALHOUN
Date of Death:  05 May 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  25 February 1878
Age:  72 years
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace:  Knott Co., Ky.
Father's Name:  James Evans CALHOUN
Mother's Maiden Name:  Sinda COOPER
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Everett CALHOUN
Disease or condition directly leading to death:  Heart failure
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  (blank)
Address:  (blank)
Signature:  J. W. Duke
Burial, Cremation or Removal:  Burial
Date:  07 May 1950
Name of Cemetery or Crematory:  Cody Cemetery
Location:  Amburgey, Ky.
Date received by local registrar: 18 September 1950
Registrar's Signature:  Rose B. Craft
Funeral director & address: Hindman Funeral Home By John N. Taul
Transcribed by Debbie Tamborski, 12 January 2011