|
DEATH
CERTIFICATE
ORVILE HAYS
Date 25 June 1939
Cert: 14805
Place of Death: Voting Pct. Toler Creek #1, Floyd Co., Ky.
Full Name: Orvile HAYS
Residence: Garrett
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Betty HAYS
Date of Birth: 22 November 1905
Age: 33years, 07 months, 03 days
Occupation: Miner
Birthplace: Knott Co.
Father Name: Bel HAYS
Birthplace Father: Floyd
Mother Maiden Name: Myrtle DYER
Birthplace Mother: Knott
Informant/Address: Blucher ALLEN, Hueysville
Burial Cremation Removal Place: Hueysville Allen
Date: 27 June 1939
Undertaker/Address: G. D. Ryan, Martin, Ky.
Filed: 30 June 1939
Registrar: Mrs. Ben Norris
Death of Date: 25 June 1939
I hereby certify, That I attended deceased from Killed
(illegible) gunshot to (blank), that I last saw h-- alive on
(blank), death is said to have occurred on the date stated
above, at 10 a.m.
Cause of Death: Gun shot over right lung and through
(illegible) homicide
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: Homicide
Date of Injury: 25 June 1939
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
in home
Manner of injury: Gun shot
Nature of injury: thru lung
Related to occupation: (blank)
Signed/Address: Elliot Prater Coroner, Prestonsburg, Ky.
Transcribed by Debbie Tamborski, 04 May 2010 |
|