Date: 17 July 1945
Cert: 21795
Place of Death: County: Knott City or
Town: Lackey, Ky. Rural
Name of Hospital or Institution: Stumbo Mem. Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Floyd
City or Town: Wayland
Full Name: Louis KEEN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 16 February 1941
Age: 14 years, 05 months, 01 days
Birthplace: Floyd Co., Ky.
Occupation: Student
Industry or business: (blank)
Father Name: Clayton KEEN
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Ella PARKER
Mother Birthplace: Floyd Co., Ky.
Informant: Clayton KEEN, Wayland, Ky.
Burial Place: Wayland, Ky.
Date: 19 July 1945
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 27 October 1945
Registrar's Signature: Rose B. Craft
Date of Death: 17 July 1945
I hereby certify that I attended deceased from 17 July 1945 to
17 July 1945, that I last saw him alive on 17 July 1945, and
that death occurred on the date stated above at 10:30 p.m.
Immediate cause of death: Gunshot wound of brain
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 17 July 1945
Where did injury occur: In field on farm
While at work: yes
Means of injury: Gun in hands of small child
Signature & Address: G. A. Stumbo, M.D., Lackey, Ky.
Date signed: 27 October 1945
Transcribed by Debbie Tamborski, 29 November 2010 |