DEATH CERTIFICATE

JOHN CREIGHTON

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