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DEATH
CERTIFICATE
CORBIN CAMPBELL
Date 09 March 1946
Cert: 07466
Place of Death: County: Perry Co. City or
Town: Hazard, Ky.
Name of Hospital or Institution: Hazard Hospital
Length of stay in hospital or community: 1 day
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Sasfrass, Ky.
Full Name: Corbin CAMPBELL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 25 January 1901
Age: 45 years, 01 months, 12 days
Birthplace: Perry Co.
Occupation: (blank)
Industry or business: (blank)
Father Name: Walter CAMPBELL
Father Birthplace: Perry Co.
Mother Maiden Name: Martha SINGTON
Mother Birthplace: Perry Co.
Informant: Ophilus CAMPBELL, Sassafras, Ky.
Burial Place: Cornett at Vipper
Date: 11 March 1946
Signature funeral director: Maggard Funeral Home, Hazard, Ky.
Date received by local registrar: 11 March 1946
Registrar's Signature: Opsie J. Deaton
Date of Death: 09 March 1946
I hereby certify that I attended deceased from (blank) to
(blank), that I
last saw him alive on (blank), and that death occurred on the date
stated above at 8 p.m.
Immediate cause of death: (illegible) skull, cerebral
(illegible)
Other Conditions: Old (illegible)
Major findings of operations; of autopsy: none
Accident, suicide, or homicide: Accident
Date of occurrence: 09 March 1946
Where did injury occur: Highway #15, Sassafras, Ky.
While at work: No
Means of injury: Auto
Signature: J. M. Ray, M.D., Hazard, Ky.
Date signed: 11 March 1946
Transcribed by Debbie Tamborski, 10 February 2010 |
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