Date:    07 July 1944
Cert:    20726 
Place of Death: County: Knott   City or Town:  Lackey
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:  Lackey 
Full Name:  Faris CHAFFINS 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Madge CHAFFINS
Age of husband or wife if alive: (blank)
Birth date of deceased:   17 December 1907
Age:  36 years, 06 months, 20 days
Birthplace:   Knott Co., Ky.
Occupation:   Miner (Coal) 
Industry or business: (blank)
Father Name:  C. L. CHAFFINS 
Father Birthplace:  Knott Co., Ky. 
Mother Maiden Name:  Cynthia WICKER 
Mother Birthplace:  Knott Co., Ky. 
Informant:  Vallis CHAFFINS, Lackey, Ky. 
Burial Place:  Mousie, Ky. 
Date:  10 July 1944 
Signature of funeral director:  W. J. Ryan, Martin, Ky.
Date received by local registrar:  26 September 1944 
Registrar's Signature: Ida Livingston Rose B. Craft Acting registrar 
Date of Death: 07 July 1944 
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 10:30 p.m.
Immediate cause of death:  Spinal Injury 
Duration: (blank)
Due to:  Fractured vertebrae
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 07 July 1944
Where did injury occur: Coal mine
While at work: Yes
Means of injury: Slate Fall
Signature & Address:  W. J. Ryan, Emb., Martin, Ky.
Date signed:  12 July 1944 
Transcribed by Debbie Tamborski, 08 November 2010