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DEATH
CERTIFICATE
GEORGE W. HORN
Date 04 May 1929
Cert: 14282
Place of Death: Voting Pct: No. 3, West
Prestonsburg, Floyd Co., Ky.
Full Name: George W. HORN
Residence: (blank)
Length of Residence in city where death occurred:
(blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Mint HORN
Date of Birth: 07 February 1873
Age: 56 years, 02 months, 27 days
Occupation: Policeman
Birthplace: Knott Co., Ky.
Father Name: Riley HORN
Birthplace Father: Johnson County
Mother Maiden Name: Mary CALHOUN
Birthplace Mother: Knott Co., Ky.
Informant/Address: Tom HORN, Prestonsburg, Ky.
Filed: 09 May 1929
Registrar: Belle Gardner
Death of Date: 04 May 1929
I hereby certify that I attended deceased from 04 May 1929 to
04 May 1929, that I last saw him alive on 04 May 1929, and
that death occurred on the date stated above at 9:30
Cause of Death: Revolver wound of chest & left arm.
Homicide
Duration: Lived about 45 minutes
Contributory: (blank)
Duration: (blank)
Where was disease contracted if not at place of death?:
(blank)
Did an operation precede death: no Date: (blank)
Was there an autopsy: yes
What test confirmed diagnosis: (blank)
Signed/Address: O. T. Stephens, M.D., 08 April 1929
[sic], Prestonsburg, Ky.
Place of Burial or Removal: Prestonsburg, Ky.
Date of Burial: 07 May 1929
Undertaker/Address: E. P. Arnold, Prestonsburg, Ky.
Transcribed by Debbie Tamborski, 27 March 2010 |
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