Date: 07 July 1944
Cert: 20725
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Northern
Full Name: William INMON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Lily INMON
Age of husband or wife if alive: 32 years
Birth date of deceased: 07 August 1910
Age: 33 years, 11 months, 00 days
Birthplace: Knott Co., Ky.
Occupation: Coal Miner
Industry or business: (blank)
Father Name: Add INMON
Father Birthplace: Floyd Co., Ky.
Mother Maiden Name: Fanny COEBURN
Mother Birthplace: Floyd Co., Ky.
Informant: Cap INMON, Garrett, Ky.
Burial Place: Garrett, Ky.
Date: 10 July 1944
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 26 September 1944
Registrar's Signature: Ida Livingston Rose
B. Craft Acting Registrar
Date of Death: 07 July 1944
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 10:30 p.m.
Immediate cause of death: Spinal Injury
Duration: (blank)
Due to: Fractured Vertebrae
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 07 July 1944
Where did injury occur: Coal mine
While at work: Yes
Means of injury: Slate fall
Signature & Address: W. J. Ryan, Embalmer, Martin,
Ky.
Date signed: 12 July 1944
Transcribed by Debbie Tamborski, 14 November 2010 |