Date: 04 October 1953
Cert: 27320
Place of Death: County: Knott
City or Town: Lackey
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Hospital
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Handshoe If rural give
location:
(blank)
Full Name: Unnamed HANDSHOE
Date of Death: 04 October 1953
Sex, Color or Race, Marital Status: Male, White, None
Date of Birth: 04 October 1953
Age: 13 hours
Usual Occupation: none
Kind of Industry or business: none
Birthplace: Ky.
Father's Name: Bee HANDSHOE
Mother's Maiden Name: Liza CRAGER
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Bee HANDSHOE
Disease or condition directly leading to death: cerebral
anoxia
Interval between onset and death: (blank)
Due to: premature placental separation
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (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 04 October 1953 to
04 October 1953, that I last saw the deceased alive on 04
October 1953, and
that death occurred at 6 p.m., from the causes and on the
date stated above.
Date signed: 09 October 1953
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 05 October 1953
Name of Cemetery or Crematory: Sutton Cemetery
Location: Handshoe, Ky.
Date received by local registrar: 08 January 1954
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address: Charles L. Hornsby,
Hindman, Ky.
Transcribed by Debbie Tamborski, 09 February 2011 |