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DEATH
CERTIFICATE
COLUMBUS HAMPTON CRUM
Date 05 September 1952
Cert: 18551
Place of Death: County: Floyd City or Town:
Martin
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County: Floyd
City or Town: Martin
Full Name: Columbus Hampton CRUM
Date of Death: 05 September 1952
Sex, Color or Race, Marital Status: Male, White, Never married
Date of Birth: 29 July 1952
Age: (over) 06 weeks, 06 days
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Kentucky
Father's Name: Merlin CRUM
Mother's Maiden Name: Elizabeth CONN
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Merlin CRUM
Disease/condition directly leading to death: Found dead
in bed
Interval between onset and death: (blank)
Due to: Probably due to suffocation
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
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 (blank) to
(blank), that I
last saw the deceased alive on (blank), and that death occurred on
the date stated above at (blank), from the causes and on the date
stated above.
Date signed: 24 September 1952
Address: Prestonsburg, Ky.
Signature: Marvin Ransdell, M.D.
Burial, Cremation or Removal: Burial
Date: 06 September 1952
Name of Cemetery or Creamatory: Conn Cemetery
Location: Martin, Ky.
Date received by local registrar: 26 September 1952
Registrar's Signature: Lucy Ransdell
Funeral director and address: Birchell C. Hall, Martin,
Ky.
Transcribed by Debbie Tamborski, 20 February 2010 |
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