DEATH CERTIFICATE

ROBERT HARVEY

Date:  21 October 1951
Cert:  23001 
Place of Death: County: Knott      City or Town: Sassasfrass
Length of stay (in this place): (blank)
Name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Ky.     County: Letcher
City or Town:  Premium    Street Address: (blank)
Full Name:  Robert HARVEY
Date of Death:  21 October 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  18 October 1895
Age: 56 years
Usual Occupation: Trucker
Kind of Industry or business: (blank)
Birthplace:  Ky.
Father's Name:  Henry HARVEY
Mother's Maiden Name:  Mary Ellen HARVEY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Mrs. Erie HARVEY
Disease or condition directly leading to death:  Fractured skull and internal injuries automobile accident
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
Accident, suicide, or homicide: accident
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: 21 October 1951, 11:30 p.m.
Injury occurred at work: Not while at work
How did injury occur: (blank)
I hereby certify that I attended deceased from 21 October 1951 to 21 October 1951, that I last saw the deceased alive on 21 October 1951, and that death occurred at 11:30 p.m., from the causes and on the date stated above.
Date signed:  26 October 1951
Address:  Hazard, Ky.
Signature:  (illegible) Coroner, Perry Co., Ky.
Burial, Cremation or Removal:  Burial
Date:  23 October 1951
Name of Cemetery or Crematory:  Family
Location:  Letcher, Ky.
Date received by local registrar:  07 January 1951
Registrar's Signature:  Rose B. Craft
Funeral director & address: Johnson Funeral Home, Hazard, Ky.
Transcribed by Debbie Tamborski, 20 January 2011