Date: 25 August 1947
Cert: 20405
Place of Death: County: Knott City or
Town: Vest
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: Vest, Ky.
Full Name: Charlotte CAMPBELL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: A. B. CAMPBELL
Age of husband or wife if alive: 61 years
Birth date of deceased: 05 August 1887
Age: 60 years, 00 months, 20 days
Birthplace: Knott
Occupation: Housewife
Industry or business: (blank)
Father Name: Lee STRONG
Father Birthplace: Breathett
Mother Maiden Name: Julia HADDIX
Mother Birthplace: Breathett
Informant: A. B. CAMPBELL, Blanchester, Ohio
Burial Place: Lytle, Ky., Breathett
Date: 27 August 1947
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 27 September 1947
Registrar's Signature: Rose B. Craft
Date of Death: 25 August 1947
I hereby certify that I attended deceased from 25 August 1947 to
25 August 1947, that I last saw him alive on 25 August 1947,
and that death occurred on the date stated above at 2 p.m.
Immediate cause of death: automobile wreck
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: 25 August 1947
Where did injury occur: On road a few miles from Vest.
Edge of road gave way - truck plunged over
While at work: (blank)
Means of injury: (blank)
Signature & Address: M. F. Kelley, M.D., Hindman,
Ky.
Date signed: 29 August 1947
Transcribed by Debbie Tamborski, 16 December 2010 |