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DEATH
CERTIFICATE
WHITT CHAFFINS
Date 21 February 1942
Cert: 03244
Place of Death: County: Floyd City or Town:
Garrett, Ky.
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Garrett, Ky. Rural
Precinct: Estep 24
Full Name: Whitt CHAFFINS
If Veteran Name War: (blank)
Social Security No.: 403-09-3745
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Lila CHAFFINS
Age of husband or wife if alive: 30 years
Birth date of deceased: 25 October 1909
Age: 32 years, 03 months, 27 days
Birthplace: Knott Co., Ky.
Occupation: Mine Motorman
Industry or business: (blank)
Father Name: John Wes CHAFFINS
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Sally TURNER
Mother Birthplace: Floyd Co., Ky.
Informant: Dave CHAFFINS, Garrett, Ky.
Burial Place: Garrett, Ky.
Date: 23 February 1942
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 04 March 1942
Registrar's Signature: Mrs. Ben Norris
Date of Death: 21 February 1942
I hereby certify that I attended deceased from 15 November
1941 to
21 February 1942, that I last saw him alive on 2? February
1942, and that death
occurred on the date stated above at (illegible)
Immediate cause of death: Pulmonary Tuberculosis
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: C. B. Ison, M.D., Garrett
Date signed: 04 March 1942
Transcribed by Debbie Tamborski, 22 May 2010 |
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