Date: 05 March 1944
Cert: 07532
Place of Death: County: Knott City or
Town: Sassafras, Ky.
Street Number or Location: Rural
Length of stay in hospital or community: Life
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Sassafras, Ky.
Street No.: Rural
Full Name: Milford HOOVER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 16 February 1944
Age: 20 days
Birthplace: Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Elbert HOOVER
Father Birthplace: Va.
Mother Maiden Name: Martha SERGENT
Mother Birthplace: Ky.
Informant: Elbert HOOVER, Sassafras, Ky.
Burial Place: Sassfras, Ky.
Date: 06 March 1944
Signature of funeral director: Friends, Sassafras, Ky.
Date received by local registrar: 25 March 1944
Registrar's Signature: Ida Livingston
Date of Death: 05 March 1944
I hereby certify that I attended deceased from 16 February
1944 to
05 March 1944, that I last saw him alive on 04 March 1944, and
that death occurred on the date stated above at 8 p.m.
Immediate cause of death: Congenital weakness
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: H. P. Duff, M.D., Kodak, Ky.
Date signed: 06 March 1944
Transcribed by Debbie Tamborski, 13 November 2010 |