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DEATH
CERTIFICATE
GREEN CORNETT
Date 10 May 1927
Cert: 14267
Place of Death: Hazard Hospital Co., Hazard, Perry Co., Ky.
Full Name: Green CORNETT
Residence: Hindman, Ky.
Sex, Color or Race, Marital Status Male, White, Married
Husband or Wife of: Lucy COMBS
Date of Birth: 03 September 1861
Age: 66 years, 08 months, 03 days
Occupation: Farmer
Birthplace: Hindman, Kentucky
Father Name: Joe ? CORNETT
Birthplace Father: Hindman, Kentucky
Mother Maiden Name: Susanna CODILL
Birthplace Mother: Perry County, Kentucky
Informant/Address: (blank)
Filed: 01 July 1927
Registrar: J. P. Boggs
Death of Date: 10 May 1927
I hereby certify that I attended deceased from 07 May 1927 to
10 May 1927, that I last saw him alive on 10 May 1927, and
that death occurred on the date stated above at 1 p.m.
Cause of Death: Accidental injury to side over region of
appendix & peritonitis from Intest. obstruct.
Duration: 08 days
Contributory: Intestional [sic] Obstruct. peritonitis
Duration: 05 days
Where was disease contracted if not at place of death?:
(blank)
Did an operation precede death: Yes Date: 07
May 1927
Was there an autopsy: no
What test confirmed diagnosis: symptoms
Signed/Address: G. B. Wheeler, M.D., 25 June 1927,
Hazard
Place of Burial or Removal: (blank)
Date of Burial: (blank)
Undertaker/Address: (blank)
Transcribed by Debbie Tamborski, 23 March 2010 |
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