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DEATH
CERTIFICATE
DAMRON HAMPTON
Date 10 July 1939
Cert: 18189
Place of Death: Voting Pct. Carbon Glow, Letcher Co., Ky.
Full Name: Damron HAMPTON
Residence: Carbon Glow, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: none
Date of Birth: September 1938
Age: 10 months, ? days
Occupation: None
Birthplace: Knott Co., Ky.
Father Name: Charlie HAMPTON
Birthplace Father: Letcher Co., Ky.
Mother Maiden Name: Beulah BLAIR
Birthplace Mother: Letcher Co., Ky.
Informant/Address: George D. GENT (Neighbor), Jeremiah, Ky.
Burial Cremation Removal Place: Jeremiah, Ky.
Date: 11 July 1939
Undertaker/Address: Family
Filed: 19 July 1939
Registrar: E. M. Collins
Death of Date: 10 July 1939
I hereby certify, That I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), death is said
to have occurred on the date stated above, at 7:30 a.m.
Cause of Death: Formentative Diarrhea (ill for 12-13
days) (on investigation)
Date of onset: (blank)
Contributory causes: Malnutrition
Name of operation: none
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: no
Signed/Address: R. D. Collins, M.D., Whitesburg, Ky.
Transcribed by Debbie Tamborski, 03 May 2010 |
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