Date: 13 October 1952
Cert: 24109
Place of Death: County: Knott
City or Town: Rural Lackey
Length of stay (in this place): 03 days
Name of Hospital or Institution: Stumbo Hospital
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Brinkley, Ky.
Full Name: Rod HANDSHOE
Date of Death: 13 October 1952
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 04 May 1952
Age: 05 months, 09 days
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Knott County, Ky.
Father's Name: Walter HANDSHOE
Mother's Maiden Name: Junie HICKS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Lindsey HICKS
Disease or condition directly leading to death: Malnutrition
Interval between onset and death: (blank)
Due to: due knowledge of Parent
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 14 October 1952
Address: Lackey, Ky.
Signature: Curtis G. Wherry, M.D.
Burial, Cremation or Removal: Burial
Date: 15 October 1952
Name of Cemetery or Crematory: Handshoe Cemetery
Location: Boyln, Ky.
Date received by local registrar: 07 November 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: Chas. L. Hornsby,
Hindman, Ky.
Transcribed by Debbie Tamborski, 26 January 2011 |