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 |