Date: 29 May 1949
Cert: 14553
Place of Death: County: Knott
City or Town: Breedings Creek, Ky.
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Red Fox, Kentucky Street Address:
(blank)
Full Name: Stanley IVEY
Date of Death: 29 May 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 10 March 1909
Age: 40 years, 02 months, 19 days
Usual Occupation: Miner
Kind of Industry or business: Truck Mines
Birthplace: Hyden, Ky.
Father's Name: George IVEY
Mother's Maiden Name: Emma NAPIER
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Bradley HACKER
Disease or condition directly leading to death: Gunshot-wound
to chest
Interval between onset and death: Suddenly
Due to: Homicide (as told me by Undertaker's Staff)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: homicide
Place of injury: at home
City or Town, County, State: Red Fox, Knott Co., Ky.
Time of Injury: 29 May 1949
Injury occurred at work: Not while at work
How did injury occur: Gun-shot wound-chest.
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at 8 p.m., from the causes and on the
date stated above.
Date signed: 01 June 1949
Address: Whitesburg
Signature: R. D. Collins, M.D.
Burial, Cremation or Removal: Burial
Date: 31 May 1949
Name of Cemetery or Crematory: Ison Cemetery
Location: Isom, Kentucky
Date received by local registrar: 16 July 1949
Registrar's Signature: Rose B. Craft By L. Biller
Funeral director & address: Archie Craft,
Whitesburg, Ky.
Transcribed by Debbie Tamborski, 05 January 2011 |