|
DEATH
CERTIFICATE
EDGAR JACKSON
Date 31 December 1939
Cert: Original #30701
Name: Edgar JACKSON
Place of Death: Knott Co., KY, Lackey, Stumbo
Memorial Hospital
Residence: Floyd Co., KY, Garrett, Ky.
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 27 March
Age: 32 years
Occupation: Miner, Elkhorn Coal Co.
Place of Birth: Pourthmouth, O
Name of Father: Hence JACKSON
Birthplace Father: Johnson Co.
Maiden Name of Mother: Frances JACKSON
Birthplace Mother: Johnson Co.
Informant: John CAUDILL, Garrett, Ky.
Death Date: 31 December 1939
Cause of Death: Acute alcoholism (illegible)
swelling of liver
Signed: C. B. Ison, M.D., Lackey, Ky.
Burial Place: Rocueriller
Date of Burial: 02 January 1939
Undertaker: G. D. Ryan, Martin, Ky.
File Date: (blank)
Registrar: (blank)
Transcribed by Debbie Tamborski, 16 November 2009 |
|