Date: 22 February 1942
Cert: 07071
Place of Death: County: Knott City or
Town: Rural (Sassafras)
Name of Hospital or Institution: none
Length of stay in hospital or community: 02 years
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural (Sassafras)
Full Name: Sanders DAVIDSON
If Veteran Name War: none
Social Security No.: 403-07-3396
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Wynema DAVIDSON
Age of husband or wife if alive: 41 years
Birth date of deceased: 29 March 1898
Age: 43 years, 10 months, 23 days
Birthplace: Hindman, Ky.
Occupation: Miner
Industry or business: Mines
Father Name: Elhanon DAVIDSON
Father Birthplace: Unknown
Mother Maiden Name: Aurora Bee PERKINS
Mother Birthplace: Virginia
Informant: Gilbert PRATT, Sassafras, Ky.
Burial Place: Leburn, Ky.
Date: 25 February 1942
Signature of funeral director: Maggard & Garrett, Hazard, Ky.
Date received by local registrar: 04 April 1942
Registrar's Signature: Ida Livingston
Date of Death: 22 February 1942
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 11 p.m.
Immediate cause of death: Gun shot wound near heart
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Homicide
Date of occurrence: 22 February 1942
Where did injury occur: Public Place
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. R. Aker, M.D., Anco, Ky.
Date signed: 29 March 1942
Transcribed by Debbie Tamborski, 17 October 2010 |