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DEATH
CERTIFICATE
CHAS HONSHUL
Date 11 February 1943
Cert: 07376
Place of Death: County: Perry City or
Town: Hazard
Name of Hospital or Institution: Hazard Hospital
Co.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: (blank)
Full Name: Chas HONSHUL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Frankie HONSHUL
Age of husband or wife if alive: 32
Birth date of deceased: 22 January 1904
Age: 39 years, (blank) months, 19 days
Birthplace: Wolfe Co., Ky.
Occupation: Coal Miner
Industry or business: (blank)
Father Name: Henry HONSHUL
Father Birthplace: Wolfe Co.
Mother Maiden Name: Rosa NICHOLS
Mother Birthplace: Ky.
Informant: Frankie HONSHUL, Redfox, Ky.
Burial Place: Rogers, Ky.
Date: 13 February 1943
Signature funeral director: Engle Und. & Hdw. Co., Hazard, Ky.
Date received by local registrar: 07 March 1943
Registrar's Signature: Anna Laura (illegible)
Date of Death: 11 February 1943
I hereby certify that I attended deceased from 04 February
1943 to
11 February 1943, that I
last saw him alive on 11 February 1943, and that death occurred on the date
stated above at 2:53 a.m.
Immediate cause of death: (illegible)
Due to: (illegible)
Major findings of operations: (blank)
Accident, suicide, or homicide: accident
Date of occurrence: (illegible) February 1943
Where did injury occur: Coal mines
While at work: Yes
Means of injury: Struck in (illegible) by loaded shell
Signature: Chris S. Jackson, M.D., Hazard, Ky.
Date signed: 06 March 1943
Transcribed by Debbie Tamborski, 05 February 2010 |
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