DEATH CERTIFICATE

LEE CENTERS

Date:  21 October 1950
Cert:  21017 
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): 10 years
Street address or location:  Larkslane, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Rural     If rural give precinct:  Larkslane, Ky.
Full Name:  Lee CENTERS
Date of Death:  21 October 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  22 August 1888
Age:  62 years
Usual Occupation: Miner
Kind of Industry or business: Coal Mining
Birthplace:  Floyd Co., Ky.
Father's Name:  William CENTERS
Mother's Maiden Name:  Edna BIRCHWELL
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Ollie CENTERS
Disease or condition directly leading to death:  Heart failure
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  21 October 1950
Address:  Hindman, Ky.
Signature:  J. N. Taul (Coroner)
Burial, Cremation or Removal:  Burial
Date:  24 October 1950
Name of Cemetery or Crematory:  Campbell
Location:  Mousie, Ky.
Date received by local registrar: 25 October 1950
Registrar's Signature:  Rose B. Craft
Funeral director & address:  John N. Taul, (Director), Hindman Funeral Home
Transcribed by Debbie Tamborski, 12 January 2011