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DEATH
CERTIFICATE
JOHN HUGHES
Date 28 January 1932
Cert: 05694
Place of Death: Voting Pct. Lackey, Floyd Co., Ky.
Full Name: John HUGHES
Residence: Lackey
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White,
Widdowed
Husband or Wife of: (blank)
Date of Birth: 1856
Age: 56 years [sic}
Occupation: Blacksmith
Birthplace: Knott Co., Ky.
Father Name: Mack HUGHES
Birthplace Father: Ky.
Mother Maiden Name: Betsey HICKS
Birthplace Mother: Ky.
Informant/Address: Adam HUGHES, Lackey, Ky.
Burial Cremation Removal Place: Burial--Lackey
Date: 30 January 1932
Undertaker/Address: (blank)
Filed: (blank)
Registrar: G. S. Howard
Death of Date: 28 January 1932
I hereby certify, That I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), death is said
to have occurred on the date stated above, at (blank)
Cause of Death: Cerosis or contracted liver
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: M. M. Collins, M.D., Lackey, Ky.
Transcribed by Debbie Tamborski, 31 March 2010 |
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