Date: 12 May 1948
Cert: 12750
Place of Death: County: Knott City or
Town: Anco, Ky. Rural
Name of Hospital or Institution: None
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Anco, Ky. Rural
Full Name: Ben CLAY
If Veteran Name War: World War II
Social Security No.: 405-32-0788
Sex, Color or Race, Marital Status: Male, White,
Single
Husband or Wife of: None
Age of husband or wife if alive: (blank)
Birth date of deceased: 15 May 1926
Age: 21 years, 11 months, 27 days
Birthplace: Saldea, Ky.
Occupation: Miner
Industry or business: Mines
Father Name: Henry CLAY
Father Birthplace: Breathitt County, Ky.
Mother Maiden Name: Mary MCQUEEN
Mother Birthplace: Clay County, Ky.
Informant: McKinley CLAY, Anco, Ky.
Burial Place: Chavies, Ky.
Date: 14 May 1948
Signature funeral director: Maggard-Blair & Garrett,
Hazard, Ky.
Date received by local registrar: 14 June 1948
Registrar's Signature: Rose B. Craft
Date of Death: 12 May 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 3:15 p.m.
Immediate cause of death: Run over by railroad car
Duration: (blank)
Due to: falling from car onto tracks
Major findings of operations: (blank)
Accident, suicide, or homicide: accident
Date of occurrence: 12 May 1948
Where did injury occur: mine
While at work: yes
Means of injury: railroad car
Signature & Address: J. R. Aker, M.D., Anco, Ky.
Date signed: 14 May 1948
Transcribed by Debbie Tamborski, 23 December 2010 |