Date: 23 January 1949
Cert: 01225
Place of Death: County: Knott
City or Town: Rural-Carrie, Ky.
Length of stay (in this place): (blank)
Street address or location: Mill Creek
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Rural - Carrie
Street Address: Mill Creek
Full Name: John CREIGHTON
Date of Death: 23 January 1949
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: August 1943
Age: 05 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Wisconsin
Father's Name: J. L. CREIGHTON
Mother's Maiden Name: Mildred DAVIDSON
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Mrs. Mollie BRAY
Disease or condition directly leading to death:
Cerebrospinal meningitis - fulminating.
Interval between onset and death: 16 hours
Due to (b): acute tonsillitis
Interval between onset and death: 02 days
Due to (c): Head trauma
Interval between onset and death: 02 - 05 weeks
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: Accident
Place of injury: Home
City or Town, County, State: Rural, Knott, Ky.
Time of Injury: 02 January 1949
Injury occurred at work: Not while at work
How did injury occur: Hit by piece of tar falling from roof
I hereby certify that I attended deceased from 15 June 1948 to
23 January 1949, that I last saw the deceased alive on 23
January 1949, and that death occurred at 5:00 p.m., from the
causes and on the date stated above.
Date signed: 29 January 1949
Address: Hindman, Ky.
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 25 January 1949
Name of Cemetery or Crematory: Davidson Cem.
Location: Carrie, Ky.
Date received by local registrar: 31 January 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Family
Transcribed by Debbie Tamborski, 04 January 2011 |