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DEATH
CERTIFICATE
RICHARD W. DUKE
Date 16 June 1928
Cert: 16103
Place of Death: Voting Pct.: M. E.
Hospital, Pikeville, Pike Co., Ky.
Full Name: Richard W. DUKE
Residence: (blank)
Length of Residence in city where death occurred:
(blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Effie Allen DUKE
Date of Birth: 15 December 1874
Age: 53 years, 07 months
Occupation: M. D.
Birthplace: Knott County, Ky.
Father Name: Peyton M. DUKE
Birthplace Father: North Carolina
Mother Maiden Name: Nancy MADDEN
Birthplace Mother: Ky.
Informant/Address: J. W. DUKE, Hindman, Ky.
Filed: 16 June 1928
Registrar: J. C. Wright, by W. P. Call
Death of Date: 16 June 1928
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), and that death
occurred on the date stated above at (blank)
Cause of Death: By gun shot wounds suicidal
Duration: (blank)
Contributory: (blank)
Duration: (blank)
Where was disease contracted if not at place of death?:
(blank)
Did an operation precede death: (blank) Date: (blank)
Was there an autopsy: (blank)
What test confirmed diagnosis: (blank)
Signed/Address: J. W. Duke, MD, 16 June 1928, Hindman, Ky.
Place of Burial or Removal: Lackey, Ky.
Date of Burial: 17 June 1928
Undertaker/Address: J. W. Call & Son, Pikeville, Ky.
Transcribed by Debbie Tamborski, 26 March 2010 |
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