Date: 19 September 1949
Cert: 27858
Place of Death: County: Knott
City or Town: Handshoe
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Handshoe Street Address:
(blank)
Full Name: Taulby HANDSHOE
Date of Death: 19 September 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: unknown
Age: 32 years
Usual Occupation: (blank)
Kind of Industry or business: Farmer
Birthplace: Handshoe, Ky.
Father's Name: Thee HANDSHOE
Mother's Maiden Name: Cynthia HICKS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Wm. HANDSHOE
Disease or condition directly leading to death: Lobar
Pneumonia
Interval between onset and death: 05 days
Due to: (blank)
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 14 September
1949 to
19 September 1949, that I last saw the deceased alive on 19
September 1949, and
that death occurred at 1 a.m., from the causes and on the
date stated above.
Date signed: 20 September 1949
Address: Garrett, Ky.
Signature: Mark Dempsey, M.D.
Burial, Cremation or Removal: Burial
Date: 20 September 1949
Name of Cemetery or Crematory: Handshoe
Location: Handshoe
Date received by local registrar: 01 November 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: John C. Hall, Martin,
Ky.
Transcribed by Debbie Tamborski, 05 January 2011 |