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DEATH
CERTIFICATE
JOHN CRAFT
Date 13 February 1943
Cert: 03364
Place of Death: County: Floyd City or Town:
Martin
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Martin
Full Name: John CRAFT
If Veteran Name War: (blank)
Social Security No.: 404-69-9595
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Minerva CRAFT
Age of husband or wife if alive: 43 years
Birth date of deceased: 09 September 1879
Age: 63 years, 05 months, 04 days
Birthplace: Knott Co., Ky.
Occupation: Laborer
Industry or business: (blank)
Father Name: Wiley CRAFT
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Jane WALLEN
Mother Birthplace: Knott Co., Ky.
Informant: Minerva CRAFT, Martin, Ky.
Burial Place: Lackey, Ky.
Date: 17 February 1943
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 23 February 1943
Registrar's Signature: Winifred Norris
Date of Death: 13 February 1943
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 5:30 ?.m.
Immediate cause of death: Skull fracture
Duration: (blank)
Due to: Pistol charge
Major findings of operations: (blank)
Accident, suicide, or homicide: Homicide
Date of occurrence: 13 February 1943
Where did injury occur: Grocery Store
While at work: No
Means of injury: Pistol
Signature & Address: W. J. Ryan, Embalmer, Martin,
Ky.
Date signed: 23 February 1943
Transcribed by Debbie Tamborski, 30 May 2010 |
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