DEATH CERTIFICATE

CHARLIE HOWARD

Date 14 November 1937
Cert: Duplicate #4569    Original #7230
Name:  Charlie HOWARD
Place of Death: Voting Pct. #19 Lackey, St. M. Hosp., Knott Co., KY
Residence: Hueysville, Ky.
Length of residence: (blank)
Male, White
Husband or Wife of: Single
Birth Date: (blank)
Age: 14 years, 07 months, 12 days
Occupation: Student
Place of Birth: Ky.
Name of Father: Willie HOWARD
Birthplace Father: Knott Co.
Maiden Name of Mother: Lula Mans
Birthplace Mother: Breathitt Co., Ky.
Informant: Willie HOWARD, Hueysville, Ky.
Death Date: 14 November 1937
Cause of Death: Compound Fracture at base of skull
Where did injury occur:  Hueysville, Ky.
Manner of Injury:  Fractured skull
Signed:  W. L. Stumbo, Lackey, Ky.
Burial Place:  Hueysville
Date of Burial:  18 November 1937
Undertaker:  G. D. Ryan, Martin, Ky.
File Date:  28 February 1938
Registrar:  Dr. G. C. Collins, D.D.S., Lackey, Ky.
Transcribed by Debbie Tamborski, 02 October 2009