Date: 14 November 1951
Cert: 15346
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): Instand
Street address or location: Garner, Ky.
Usual Residence of Deceased: State: N.C.
County: Yancey
City or Town: Burnsville, N.C. Street Address:
Burnsville, N.C.
Full Name: Auther FOX
Date of Death: 14 November 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 29 June 1898
Age: 53 years
Usual Occupation: lumberman
Kind of Industry or business: making lumber
Birthplace: Burnsville, N.C.
Father's Name: Malcum FOX
Mother's Maiden Name: Julie SHEHAN
Was deceased ever in armed forces: (blank)
Social Security No.: 237-48-2994
Informant: Hattie LAWS FOX
Disease or condition directly leading to death: Acute alcohol
poisoning
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 14 November
1951 to
14 November 1951, that I last saw the deceased alive on 14
November 1951, and
that death occurred at 7 a.m., from the causes and on the
date stated above.
Date signed: 03 December 1951
Address: Hindman, Ky.
Signature: M. F. Kelley
Burial, Cremation or Removal: Burial
Date: 16 November 1951
Name of Cemetery or Crematory: Family Cemetery
Location: Burnsville, N.C.
Date received by local registrar: 03 December 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: Hindman Funeral Home,
Hindman, Ky., John N. Taul, Director
Transcribed by Debbie Tamborski, 19 January 2011 |