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DEATH
CERTIFICATE
MALCOM GREEN
Date 26 May 1951
Cert: 09280
Place of Death: County: Floyd City or Town:
Minnie, Ky.
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: Handshoe
Full Name: Malcom GREEN
Date of Death: 26 May 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: Unknown
Age: 39 years
Usual Occupation: Miner
Kind of Industry or business: Coal
Birthplace: Knott Co.
Father's Name: Lige GREEN
Mother's Maiden Name: Susie JOHNSON GREEN
Was deceased in ever in armed forces: no
Social Security No.: (blank)
Informant: Jules HALL
Disease or condition directly leading to death: (illegible--bucillosis)
Interval between onset and death: 02 years
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (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 (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: 01 June 1951
Address: Prestonsburg, Ky.
Signature: (illegible)
Burial, Cremation or Removal: Burial
Date: 28 May 1951
Name of Cemetery or Creamatory: Stumbo
Location: Minnie, Ky.
Date received by local registrar: 06 June 1951
Registrar's Signature: Lucy Ransdell
Funeral director and address: J. C. Hall, Martin, Ky.
Transcribed by Debbie Tamborski, 17 February 2010 |
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