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DEATH
CERTIFICATE
DENNIS DAVISON
Date: 24 August 1946
Cert: 20422
Place of Death: County: Perry City or Town:
Glomwar
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Glomwar
Full Name: Dennis DAVISON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Lizzie DAVISON
Age of husband or wife if alive: 36 years
Birth date of deceased: 24 August 1900
Age: 45 years, 11 months, 29 days
Birthplace: Knott Co., Ky.
Occupation: Miner
Industry or business: (blank)
Father Name: Jack DAVISON
Father Birthplace: Ky.
Mother Maiden Name: Unknown
Mother Birthplace:
"
Informant: Lizzie DAVISON, Glowmar
Burial Place: Jeff, Ky.
Date: 27 August 1946
Signature of funeral director: Joe Greer, Hazard, Ky.
Date received by local registrar: 01 October 1946
Registrar's Signature: Opsie J. Deaton
Date of Death: 24 August 1946
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 9:30 p.m.
Immediate cause of death: Struck by L & N Engine
Duration: (blank)
Due to: Crushed chest & skull
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: Ed H. Ivey,
Coroner P C Ky., Hazard, Ky.
Date signed: 24 August 1946
Transcribed by Debbie Tamborski, 08 June 2010 |
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