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DEATH
CERTIFICATE
CORDIS DRAUGHN
Date: 18 May 1946
Cert: 12049
Place of Death: County: Perry City or Town:
Hazard
Hospital or Institution: Hazard Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Richey
Full Name: Cordis DRAUGHN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: September 1896
Age: 49 years, 07 months
Birthplace: Knott
Occupation: Miner
Industry or business: (blank)
Father Name: Dolph DRAUGHN
Father Birthplace: Knott
Mother Maiden Name: Martha Slyina
Mother Birthplace: Knott
Informant: Olvin DRAUGHN, Richey, Ky.
Burial Place: Lots Creek
Date: 0 May 1946
Signature of funeral director: L. Riley Townsend, Hazard, Ky.
Date received by local registrar: 20 May 1946
Registrar's Signature: Opsie J. Deaton
Date of Death: 18 May 1946
I hereby certify that I attended deceased from 17 May 1946 to
18 May 1946, that I last saw him alive on 18 May 1946, and
that death occurred on the date stated above at 10 p.m.
Immediate cause of death: Pulmonary Tuberculosis
Duration: 01 day
Due to: (blank)
Other Conditions: Recent fracture of pelvis
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. E. Hagan, M.D., Hazard, Ky.
Date signed: 20 May 1946
Transcribed by Debbie Tamborski, 08 June 2010 |
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