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DEATH
CERTIFICATE
SEMON HAGANS
Date 21 December 1923
Cert: 31844
Place of Death: Voting Precinct: Hazard Hospital,
Hazard, Perry Co., Ky.
Full Name: Semon HAGANS
Sex, Color or Race, Marital Status: Male, Colored,
Married
Date of Birth: 1886
Age: 37 years
Occupation: Coal miner
Birthplace: Knott Co., Ky.
Name of Father: Thomas HAGANS
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: (blank)
Birthplace Mother: (blank)
Informant/Address: Cainon HAGANS, Hazard
Filed: 31 December 1923
Registrar: J. P. Boggs
Death Date: 21 December 1923
I hereby certify that I attended deceased from 20 December
1923, to
21 December 1923, that I last saw him alive on 20 December
1923, and that death occurred, on the date stated above, at
2:45 a.m.
Cause of Death: Shock and Hemorrhage, homicide
Duration: (blank)
Contributory: Gun shot wound of (??unxla??)
Signed/Address: G. B. Wheeler, M.D., Hazard
Length of residence at place of death: 16 hours
Former or usual residence: Hazard
Place of Burial or Removal: Jeff, Ky.
Date of Burial: 22 December 1923
Undertaker/Address: W. D. Coudell, Hazard, Ky.
Transcribed by Debbie Tamborski, 19 March 2010 |
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