Date: 12 December 1942
(transcribed as written)
Cert: 09536
Place of Death: County: Knott City or
Town: Ritchie, Ky.
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: Ritchie, Ky.
Full Name: Eva HUGHES
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 12 December 1942
(transcribed as written)
Age: 06 hours
Birthplace: Ritchie, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: John Wes HUGHES
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Florence CAMPBELL
Mother Birthplace: Vest, Knott Co., Ky.
Informant: Ruth CAMPBELL, Hindman
Burial Place: Ritchie, Ky.
Date: 12 March 1942 (transcribed as written)
Signature of funeral director: Andrew Campbell,
Hindman, Ky.
Date received by local registrar: 20 April 1942
Registrar's Signature: Ida Livingston
Date of Death: 12 December 1942
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 7 p.m.
Immediate cause of death: unknown
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: Dorcas Campbell, Hindman, Ky.
Date signed: 20 April 1942
Transcribed by Debbie Tamborski, 17 October 2010 |