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DEATH
CERTIFICATE
EDGAR DOBSON
Date 22 September 1941
Cert: 23066
Place of Death: Voting Pct. Hardburly, Perry Co., Ky.
Full Name: Edgar DOBSON
Residence: (blank)
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Lora SLONE DOBSON
Date of Birth: 25 April 1910
Age: 31 years, 04 months, 28 days
Occupation: Miner
Birthplace: Ky. - Knott Co.
Father Name: Andy Dobson.
Birthplace Father: Ky., Knott Co.
Mother Maiden Name: Caroline TERRY
Birthplace Mother: Knott Co., Ky.
Informant/Address: Troy DOBSON, Hardburly, Ky.
Burial Cremation Removal Place: Burial - Vest, Ky.
Date: 24 September 1941
Undertaker/Address: Engle Und. & Hdwe. Co., Main St.,
Hazard, Ky.
Filed: 01 October 1941
Registrar: Kathryn S. Johnson
Death of Date: 22 September 1941
I hereby certify, That I attended deceased from on 22
September 1941 to (blank), that I last saw h-- alive on
(blank), death is said to have occurred on the date stated
above, at 10:30 p.m.
Cause of Death: Accidental injury (Electrocution) came
in contact with live wire in mine
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: Accident yes
Date of Injury: 22 September 1941
Where did injury occur: Coal Mine
Specify whether injury occurred industry, home, public place:
Industry (Coal)
Manner of injury: Contact with "live wire"
Nature of injury: Electrocution
Related to occupation: (blank)
Signed/Address: H. W. Gingles, M. D. Hardburly, Ky.
Transcribed by Debbie Tamborski, 12 May 2010 |
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