|
DEATH
CERTIFICATE
FLOYD HANDSHOE
Date 06 August 1940
Cert: 21964
Place of Death: County: Knott City or Town:
Handshoe, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Handshoe, Ky.
Full Name: Floyd HANDSHOE
If Veteran Name War: (blank)
Social Security No.: 404-09-1086
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Manda CONLEY
Age of husband or wife if alive: 36 years
Birth date of deceased: 06 August 1940 (transcribed as
written)
Age: 44 years, 04 months, 25 days 1896
Birthplace: Handshoe, Ky.
Occupation: Farming
Industry or business: Merchant
Father Name: Wilson HANDSHOE
Father Birthplace: Floyd Co.
Mother Maiden Name: Susie COBURN
Mother Birthplace: Floyd Co.
Informant/Address: Susan OWSLEY, Vest, Ky.
Burial Place: Elmrock
Date: 07 August 1940
Signature of funeral director/address: (blank), Handshoe, Ky.
Date received by local registrar: 13 September 1940
Registrar's Signature: Macie Miller
Date of Death: 06 August 1940
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Shot and Killed
Duration: (blank)
Due to: Homicide
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: Below home
While at work: (blank)
Means of injury: (blank)
Signature & Address: Susan Owsley, Vest, Ky.
Date signed: 07 August 1940
Transcribed by Debbie Tamborski, 18 August 2010 |
|