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DEATH
CERTIFICATE
RAY DAVIDSON
Date: 24 July 1947
Cert: 20848
Place of Death: County: Perry City or Town:
Hazard, Ky.
Street No. or Location: Hurst-Snyder Hospital
Length of stay in hospital or community: 01 day
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Jeff, Ky.
Full Name: Ray DAVIDSON
If Veteran Name War: none
Social Security No.: 403-09-4265
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Martha DAVIDSON
Age of husband or wife if alive: 30 years
Birth date of deceased: 25 November 1906
Age: 40 years, 07 months, 29 days
Birthplace: Knott County, Ky.
Occupation: Miner
Industry or business: Mines
Father Name: William CORNETT
Father Birthplace: Knott County, Ky.
Mother Maiden Name: Mary Jane COLLINS
Mother Birthplace: Knott County, Ky.
Informant: Martha Juanita DAVIDSON, Jeff, Ky.
Burial Place: Jeff, Ky.
Date: 27 July 1947
Signature of funeral director: Maggard, Blair, Garrett &
Garrett, Hazard, Ky.
Date received by local registrar: 25 July 1947
Registrar's Signature: Pearl G. Combs
Date of Death: 24 July 1947
I hereby certify that I attended deceased from 02 June 1947 to
24 July 1947, that I last saw him alive on 24 July 1947, and
that death occurred on the date stated above at 9:50 p.m.
Immediate cause of death: Coronary Occlusion
Duration: 06 weeks
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Chas. Snyder, M.D., Hazard, Ky.
Date signed: 25 July 1947
Transcribed by Debbie Tamborski, 23 June 2010 |
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