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DEATH
CERTIFICATE
JOHN DUTY
Date 10 August 1949
Cert: 16665
Place of Death: County: Johnson City or
Town: Paintsville, Ky.
Name of Hospital or Institution: Paintsville Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman, Ky.
Full Name: John DUTY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Dorthy DUTY
Age of husband or wife if alive: 31 years
Birth date of deceased: 02 April 1910
Age: 39 years, 04 months, 08 days
Birthplace: Tyler Co., W. Va.
Occupation: Driller
Industry or business: Inland Gas Co.
Father Name: E. T. DUTY
Father Birthplace: Tyler Co., W. Va.
Mother Maiden Name: Sarah ANKROM
Mother Birthplace: Tyler Co., W. Va.
Informant: Dorthy DUTY, Hindman, Ky.
Burial Place: Hindman
Date: 12 August 1949
Signature of funeral director: Lloyd H. Preston, Paintsville,
Ky.
Date received by local registrar: 17 August 1949
Registrar's Signature: Madge Salyer
Date of Death: 10 August 1949
I hereby certify that I attended deceased from 03 August 1949 to
10 August 1949, that I
last saw him alive on 10 August 1949, and that death occurred on the date
stated above at 6:50 a.m.
Immediate cause of death: toxic myocarditis
Due to: cholycystitis
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: Robert A. Hall, M.D., Paintsville, Ky.
Date signed: 10 August 1949
Transcribed by Debbie Tamborski, 15 February 2010 |
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