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DEATH
CERTIFICATE
ARNOLD ELKINS
Date 19 March 1950
Cert: 06057
Place of Death: County: Perry City or Town:
Hazard
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Jeff
Full Name: Arnold ELKINS
Date of Death: 19 March 1950
Sex, Color or Race, Marital Status: Male, White,
Married
Date of Birth: 04 August 1909
Age: 42 years
Usual Occupation: Miner
Kind of Industry or business: Kenmont Coal Co.
Birthplace: Breathett Co., Ky. [sic]
Father's Name: Ben ELKINS
Mother's Maiden Name: Anna WESTERN
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Ben ELKINS
Disease or condition directly leading to death: Crushed
skull
Interval between onset and death: (blank)
Due to: Automobile Reck [sic]
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: Accident
Place of injury: Glomar, Ky.
City or Town, County, State: Perry, Ky.
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: Ran into a truck
I hereby certify that I attended deceased from (blank) to
(blank), that I
last saw the deceased alive on (blank), and that death occurred on
the date stated above at (blank), from the causes and on the date
stated above.
Date signed: 24 March 1950
Address: Hazard, Ky.
Signature: (illegible) Coroner Perry Co.
Burial, Cremation or Removal: Burial
Date: 22 March 1950
Name of Cemetery or Creamatory: Elkins
Location: Knott County, Ky.
Date received by local registrar: 24 March 1950
Registrar's Signature: Georgia Pendleton
Funeral director and address: Johnsons, Hazard, Ky.
Transcribed by Debbie Tamborski, 16 February 2010 |
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