|
DEATH
CERTIFICATE
GEORGE DEWEY KELLEY
Date: 29 June 1946
Cert: 14210
Place of Death: County: Spencer City or Town:
Rural
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Spencer
City or Town: Rural
Full Name: George Dewey KELLEY
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: 22 October 1898
Age: 47 years
Birthplace: Knott Co.
Occupation: Farmer
Industry or business: (blank)
Father Name: Geo KELLY
Father Birthplace: Knott Co.
Mother Maiden Name: Harriet STACEY
Mother Birthplace: Perry Co.
Informant: Stuart KELLEY, Normandy, Ky.
Burial Place: Elk Creek, Ky.
Date: 30 June 1946
Signature of funeral director: (illegible), Taylersville, Ky.
Date received by local registrar: 01 July 1946
Registrar's Signature: Nellie SUTHERLAND
Date of Death: 29 June 1946
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 (blank)
Immediate cause of death: Heart Attack
Duration: (blank)
Due to: Over heated
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: 28 June 1946
Where did injury occur: (illegible)
While at work: Barley field
Means of injury: (blank)
Signature & Address: A. D. Greenille, M.D.,
Taylersville, Ky.
Date signed: 29 June 1946
Transcribed by Debbie Tamborski, 09 June 2010 |
|