Date 05 July 1954
Cert: 16288
Place of Death: County: Knott
City or Town: Bath, Ky
Length of stay in hospital or community: (blank)
Name of Hospital or Institution:
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Bath
Full Name: Benjamin Franklin Centers
Date of Death: 05 July 1954
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 20 March 1887
Age: 67
Usual Occupation: Farming
Kind of Industry or business: (blank)
Birthplace: Kentucky
Father's Name: Frank Centers
Mother's Maiden Name: Rachel Wallen
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant:
Disease or condition directly leading to death: Cereberal
Vascular Accident with Left Hemiplegia
Interval between onset and death: 7 days
Due to: Arteriosclerosis
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (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 01 July 1954 to
01 July 1954, that I last saw the deceased alive on 7:50 pm ,
and that death occurred on the date stated above at from the
causes and on the date stated above.
Date signed: 12 Jul 1954
Address: Hindman, Ky
Signature: D. G. Barker, MD
Burial, Cremation or Removal: Burial
Date: 03 July 1954
Name of Cemetery or Crematory: Family Cemetery
Location: Bath, Ky
Date received by local registrar: 12 August 1954
Registrar's Signature: Myrtle Slone
Funeral director and address: John (illegible) Hindman Funeral
Home ~ Hindman, Ky
Transcribed by Gloria Marcum ~ 17 February 2010 |