Date: 21 October 1947
Cert: 28503
Place of Death: County: Knott City or
Town: Dema
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Dema
Full Name: Ishmael HOPKINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Lena HOPKINS
Age of husband or wife if alive: 38 years
Birth date of deceased: 08 May 1914
Age: 33 years, 05 months, 13 days
Birthplace: Magoffin Co., Ky.
Occupation: Miner (Coal)
Industry or business: (blank)
Father Name: Hargis HOPKINS
Father Birthplace: Magoffin Co., Ky.
Mother Maiden Name: Nettie CARPENTER
Mother Birthplace: Magoffin Co., Ky.
Informant: Hargis HOPKINS, Fredville, Ky.
Burial Place: Dema, Ky.
Date: 23 October 1947
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 14 January 1948
Registrar's Signature: Rose B. Craft
Date of Death: 21 October 1947
I hereby certify that I attended deceased from 21 October 1947 to
21 October 1947, that I last saw him alive on 21 October 1947, and that death
occurred on the date stated above at 4:00 a.m.
Immediate cause of death: Heart failure
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: Dr. M. M. Collins, M.D.,
Lackey, Ky.
Date signed: 12 January 1948
Transcribed by Debbie Tamborski, 18 December 2010 |