Date: 05 April 1946
Cert: 11622
Place of Death: County: Knott City or
Town: Hindman, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Hindman Rural
Full Name: George CALHOUN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Single
Husband or Wife of: None
Age of husband or wife if alive: (blank)
Birth date of deceased: 14 July 1884
Age: 61 years, 08 months, 21 days
Birthplace: Knott Co., Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: David CALHOUN
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Barbara PATRICK
Mother Birthplace: Talcum, Knott Co., Ky.
Informant: Dora PERKINS, Hindman, Ky.
Burial Place: Owen's Branch Cem.
Date: 06 April 1946
Signature funeral director: Neighbors & Relatives,
Hindman, Ky.
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 05 April 1946
I hereby certify that I attended deceased from 04 April 1946 to
05 April 1946, that I last saw him alive on 04 April 1946, and
that death occurred on the date stated above at 6:10 a.m.
Immediate cause of death: Lobar Pneumonia
Duration: 02 days
Due to: (blank)
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: Mark Dempsey, M.D., Garrett,
Ky.
Date signed: 08 May 1946
Transcribed by Debbie Tamborski, 04 December 2010 |