Date: 12 February 1944
Cert: 20723
Place of Death: County: Knott City or
Town: Litt Carr, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Litt Carr, Ky., Rural
Full Name: Jethro HIGGANS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, (blank)
Husband or Wife of: Elizabeth STAMPER
Age of husband or wife if alive: Deceased
Birth date of deceased: 28 September 1868
Age: 75 years, 04 months, 14 days
Birthplace: Kentucky
Occupation: Farming
Industry or business: (blank)
Father Name: Linville HIGGINS
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Almeda WHEATLEY
Mother Birthplace: Wise, Va.
Informant: Lucy J. AMBURGEY, Litt Carr, Ky.
Burial Place: Litt Carr, Ky.
Date: 14 February 1944
Signature of funeral director: George Higgins, Vicco,
Ky.
Date received by local registrar: 27 September 1944
Registrar's Signature: Ida Livingston
Rose B. Craft Acting Registrar
Date of Death: 12 February 1944
I hereby certify that I attended deceased from 04 February
1944 to
12 February 1944, that I last saw him alive on 04 February
1944, and that death
occurred on the date stated above at 9 p.m.
Immediate cause of death: Broncho Pneumonia Fever
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Mark Dempsey, M.D., Garrett,
Ky.
Date signed: 22 June 1944
Transcribed by Debbie Tamborski, 13 November 2010 |