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DEATH
CERTIFICATE
JASON ENGLE
Date 14 December 1946
Cert: 02183
Place of Death: County: Perry City or
Town: Kenmont
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: Hindman, Ky.
Full Name: Jason ENGLE
If Veteran Name War: World War I
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Poppie CALHOUN
Age of husband or wife if alive: 46 years
Birth date of deceased: 14 January 1896
Age: 50 years
Birthplace: Knott Co. (Ky.)
Occupation: Minner [sic]
Industry or business: (blank)
Father Name: Henry ENGLE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Polly Ann COMBS
Mother Birthplace: Knott Co., Ky.
Informant: Mrs. Jason ENGLE, Hindmand, Ky.
Burial Place: Hindman, Ky.
Date: 16 December 1946
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 13 January 1947
Registrar's Signature: O. J. Deaton by Helen Burris,
Dep. Reg.
Date of Death: 14 December 1946
I hereby certify that I attended deceased from 14 December
1946 to
14 December 1946, that I
last saw him alive on was dead when seen, and that death occurred on the date
stated above at 9:20 p.m.
Immediate cause of death: Fractured cervical spine & tramatic
laceration medulla oblongata
Due to: Caught under slate fall crushing head, neck &
chest
Major findings of operations: none performed
Accident, suicide, or homicide: (blank)
Date of occurrence: 14 December 1946
Where did injury occur: In Coal mine. Kenmont Coal
Co.
While at work: yes
Means of injury: (illegible) from slate fall
Signature: Paul W. Gutsche, M.D., Hazard, Ky.
Date signed: 10 January 1947
Transcribed by Debbie Tamborski, 10 February 2010 |
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