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DEATH
CERTIFICATE
ROBERT CALHOUN
Date: 20 January 1948
Cert: 3895
Place of Death: County: Nelson City or Town: New Haven Rt. 1
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Nelson
City or Town: New Haven Rt. 1
Full Name: Robert CALHOUN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widower
Husband or Wife of: Deceased
Age of husband or wife if alive: (blank)
Birth date of deceased: 20 July 1873
Age: 74 years, 06 months, 00 days
Birthplace: Knott Co., Kentucky
Occupation: Coke Burner
Industry or business: (blank)
Father Name: Evans CALHOUN
Father Birthplace: Knott Co., Kentucky
Mother Maiden Name: Lucinda COOPER
Mother Birthplace: McGavein Co., Ky.
Informant: Kelly CALHOUN, New Haven, Ky., Rt.
1
Burial Place: New Haven, Rt. 1
Date: 22 January 1948
Signature of funeral director: Mick Greenwell, New
Haven, Ky.
Date received by local registrar: 01 March
1948
Registrar's Signature: Mary E. Greenwell
Date of Death: 20 January 1948
I hereby certify that I attended deceased from (blank) to
only at time of his death, that I last saw him alive on time
of death, and that death
occurred on the date stated above at (blank)
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: J. I. Greenwell, M.D., New Haven,
Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 01 July 2010 |
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