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DEATH
CERTIFICATE
HUBBARD C.
FRANCIS
Date 02 December 1940
Cert: 27589
Place of Death: County: Boyd City or Town:
Ashland
Name of Hospital or Institution: 2nd National Bank Bldg.
Length of stay in community: 01 day
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Prestonsburg
Full Name: Hubbard C. FRANCIS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Melissa
Age of husband or wife if alive: unknown
Birth date of deceased: (blank)
Age: 68 years
Birthplace: Knott Co., Ky.
Occupation: Merchant
Industry or business: Gen. Mdse.
Father Name: Huram FRANCES [sic]
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Sarah DAY
Mother Birthplace: Knott Co., Ky.
Informant: Franklin W. MOORE, Prestonsburg, Ky.
Burial Place: Burial - Prestonsburg, Ky.
Date: 04 December 1940
Signature funeral director: Lazear Funeral Home, Ashland, Ky.
Date received by local registrar: 04 December 1940
Registrar's Signature: Mrs. C. (illegible)
Date of Death: 02 December 1940
I hereby certify that I attended deceased from (blank) to
saw him dead, that I last saw him alive on 02 December 1940,
and that death occurred on the date stated above at 3:15 p.m.
Immediate cause of death: Coronary occlusion
Duration: 3:15 p.m. 02 December 1940
Due to: Sudden death
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: J. C. Hall, M.D., Ashland, Ky.
Date signed: 02 December 1940
Transcribed by Debbie Tamborski, 08 May 2010 |
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