Date: 02 February 1945
Cert: 03962
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Lackey
Full Name: Ollie A. ELKINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Gypsy ELKINS
Age of husband or wife if alive: (blank)
Birth date of deceased: 12 September 1898
Age: 47 years
Birthplace: Floyd Co., Ky.
Occupation: Payroll Clerk
Industry or business: (blank)
Father Name: W. C. ELKINS
Father Birthplace: Floyd Co., Ky.
Mother Maiden Name: Victoria AKERS
Mother Birthplace: Floyd Co., Ky.
Informant: Grats ELKINS, East Point, Ky.
Burial Place: Hindman, Ky.
Date: 04 February 1945
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 23 February 1945
Registrar's Signature: Ida Livingston Rose B. Craft
acting L. R.
Date of Death: 02 February 1945
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 8:00 a.m.
Immediate cause of death: Cardiac Insufficiency
Duration: (blank)
Due to: Coronary Occlusion
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 & Address: A. R. Hodge, M.D.
Date signed: 22 February 1945
Transcribed by Debbie Tamborski, 27 November 2010 |