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DEATH
CERTIFICATE
DAVE HANDSHOE
Date 20 July 1950
Cert: 17923
Place of Death: County: Floyd City or Town:
Prestonsburg
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Handshoe
Full Name: Dave HANDSHOE
Date of Death: 20 July 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 1866
Age: 84 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: (blank)
Father's Name: Brice HANDSHOE
Mother's Maiden Name: Betty SHEPHERD
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant: (blank)
Disease or condition directly leading to death: Fracture
skull
Interval between onset and death: 01 day
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: accident
Place of injury: (blank)
City or Town, County, State: Highway, Floyd, Ky.
Time of Injury: 20 July 1950 3:00 p.m.
Injury occurred at work: Not while at work
How did injury occur: Car ran over hill
I hereby certify that I attended deceased from 20 July 1950 to
20 July 1950, that I
last saw the deceased alive on 20 July 1950, and that death occurred on
the date stated above at 1:30, from the causes and on the date
stated above.
Date signed: 12 September 1950
Address: Prestonsburg, Ky.
Signature: George P. Archer, M.D.
Burial, Cremation or Removal: Burial
Date: 22 July 1950
Name of Cemetery or Creamatory: Handshoe
Location: Handshoe, Kentucky
Date received by local registrar: 19 September 1950
Registrar's Signature: Lucy Ransdell
Funeral director and address: E. P. Arnold,
Prestonsburg, Ky.
Transcribed by Debbie Tamborski, 16 February 2010 |
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