DEATH CERTIFICATE

DAVID CHAFFINS

Date:    24 June 1947
Cert:    28985 
Place of Death: County: Knott  City or Town: Garrett, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Garrett     Rural 
Full Name:  David CHAFFINS 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Widowed
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  24 May 1860
Age:  87 years, 01 months, 00 days
Birthplace:  Knott Co., Ky. 
Occupation:  Farmer 
Industry or business:  Farming
Father Name:  Samuel CHAFFINS 
Father Birthplace:  Knott Co., Ky. 
Mother Maiden Name:  Nancy SUTTON 
Mother Birthplace:   Knott Co., Ky. 
Informant:  Gilbert CHAFFINS, Lukeville, Ohio
Burial Place:   Garrett, Ky. 
Date:  26 June 1947 
Signature of funeral director:  G. D. Ryan, Martin, Ky.
Date received by local registrar:  26 March 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  24 June 1947 
I hereby certify that I attended deceased from 20 June 1947 to 24 June 1947, that I last saw him alive on 24 June 1947, and that death occurred on the date stated above at 2:30 a.m.
Immediate cause of death:  Old age & heart acted bad at time death 
Duration: (blank)
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: Dr. M. M. Collins, M.D., Lackey, Ky.
Date signed:  21 March 1948 
Transcribed by Debbie Tamborski, 16 December 2010