Date: 04 April 1948
Cert: 08266
Place of Death: County: Knott City or
Town: Leburn, Ky.
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: Leburn, Ky.
Full Name: Chester CHILDERS
If Veteran Name War: (blank)
Social Security No.: 401-12-4031
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Lula CHILDERS
Age of husband or wife if alive: 40 years
Birth date of deceased: 04 December 1900
Age: 47 years, 04 months, 00 days
Birthplace: Leburn, Ky.
Occupation: Miner
Industry or business: Coal
Father Name: Alex CHILDERS
Father Birthplace: Leburn, Ky.
Mother Maiden Name: Mary SHORT
Mother Birthplace: Leburn
Informant: Linny CHILDERS, Garner, Ky.
Burial Place: Garner, Ky.
Date: 06 April 1948
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 26 April 1948
Registrar's Signature: Rose B. Craft
Date of Death: 04 April 1948
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 5 a.m.
Immediate cause of death: Heart failure
Duration: (blank)
Due to: Cause unknown
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: J. W. Duke, Hindman, Ky.
Date signed: 26 April 1948
Transcribed by Debbie Tamborski, 22 December 2010 |