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DEATH
CERTIFICATE
MR. CHARLIE HOWARD
Date 14 January 1937
Cert: Original #7230 Duplicate
#4569
Name: Mr. Charlie HOWARD
Place of Death: Vot Pct. #19 Lackey, Stumbo M.
Hosp., Knott Co., KY
Residence: Hueysville, Ky.
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 02 April 1923
Age: 14 years, 07 months, 12 days
Occupation: Student
Place of Birth: Hueysville, Ky., Kentucky
Name of Father: Willie HOWARD
Birthplace Father: Knott County
Maiden Name of Mother: Lula Manse
Birthplace Mother: Breathitt County
Informant: Willie HOWARD, Hueysville, Ky.
Death Date: 14 January 1937
Cause of Death: Compound Fracture at base of skull, internal
injuries
Contributory: Struck by car
Signed: W. L. Stumbo, Lackey, Ky.
Burial Place: Hueysville
Date of Burial: 08 January 1937 (transcribed as written)
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 11 April 1938
Registrar: Dr. G. C. Collins, D.D.S., Lackey, Ky.
Transcribed by Debbie Tamborski, 02 October 2009 |
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