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DEATH
CERTIFICATE
ANDY COOK
Date: 13 May 1953
Cert: 10734
Place of Death: County: Letcher City or Town:
Fleming
Length of stay (in this place): 01
Name of Hospital or Institution: Fleming Hospital
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: Jenkins (Rural) Street Address: (blank)
Full Name: Andy COOK
Date of Death: 13 May 1953
Sex, Color or Race, Marital Status: Male, White, Widower
Date of Birth: 17 August 1902
Age: 50 years, 08 months, 27 days
Usual Occupation: Farmer
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Lewis COOK
Mother's Maiden Name: Margaret HALL
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mrs. Susie FLEMING
Disease/condition directly leading to death: Coronary
Occlusion
Interval between onset and death: 10 May 1953 - 13 May 1953
Due to: Coronary Insufficiency
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 10 May 1953 to
13 May 1953, that I last saw the deceased alive on 13 May 1953, and
that death occurred at 1:50 a.m., from the causes and on the
date stated above.
Date signed: 13 May 1953
Address: Fleming, Ky.
Signature: E. K. Langford, M.D.
Burial, Cremation or Removal: Burial
Date: 15 May 1953
Name of Cemetery or Crematory: Jack Johnson Cemetery
Location: Dry Creek, Ky.
Date received by local registrar: 19 May 1953
Registrar's Signature: G. W. Collins
Funeral director & address: Geo. W. McCog, Jenkins,
Ky.
Transcribed by Debbie Tamborski, 13 August 2010 |
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