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DEATH
CERTIFICATE
JEFF GREENE
Date 06 August 1951
Cert: 15794
Place of Death: County: Floyd County City or Town:
Estill, 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: Dema
Full Name: Jeff GREENE
Date of Death: 06 August 1951
Sex, Color or Race, Marital Status: Male, White, Marrige
Date of Birth: 22 June 1881
Age: 70 years
Usual Occupation: (blank)
Kind of Industry or business: Miner
Birthplace: Va.
Father's Name: James GREENE
Mother's Maiden Name: Martha (illegible)
Was deceased in ever in armed forces: (blank)
Social Security No.: 408-09-6818
Informant: (blank)
Disease or condition directly leading to death: Broken
neck
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: accident
Place of injury: Highway
City or Town, County, State: Estill, Floyd, Ky.
Time of Injury: 06 August 1951 10:00 a.m.
Injury occurred at work: Not while at work
How did injury occur: Hit by truck
I hereby certify that I attended deceased from 06 August 1951 to
(blank), that I
last saw the deceased alive on 06 August 1951, and that death occurred on
the date stated above at 10:00 a.m., from the causes and on the date
stated above.
Date signed: 13 August 1951
Address: Lackey, Ky.
Signature: C. M. Akers, M.D.
Burial, Cremation or Removal: (blank)
Date: 09 August
Name of Cemetery or Creamatory: Terry Cemetery
Location: Dema, Ky.
Date received by local registrar: 15 August 1951
Registrar's Signature: Lucy Ransdell
Funeral director and address: David Cook, Estill, Ky.,
Cook & Hopkins Funeral Home
Transcribed by Debbie Tamborski, 17 February 2010 |
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