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DEATH
CERTIFICATE
WILLIAM CHAFINS
Date 12 December 1919
Cert: # 330(?6?)5
Name: William CHAFINS
Male, White, Single
Age: 17 years, 09 months, 09 days
Place of Death: Vot. Prec. Jones Fork, Garrett, Knott Co., KY
Birth Date: 09 September 1902
Occupation: Miner
Place of Birth: Lackey, Ky.
Name of Father: Marion CHAFINS
Birthplace Father: Lackey, Ky.
Maiden Name of Mother: Leiucinda HICKS
Birthplace Mother: Goodlow, Ky.
Informant: George COX, Lackey, Ky.
Death Date: 12 December 1919
Cause of Death: Explosion in coal mine caused death in 1
hour injured brains & crushed his cranium
Signed: N. N. Collins, M.D.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: 12 December 1919
Transcribed by Debbie Tamborski, 30 November 2008 |
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