Date: 26 August 1945
Cert: 23987
Place of Death: County: Knott City or
Town: Anco, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Anco Rural
Full Name: George KELLY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Fannie
Age of husband or wife if alive: 69 years
Birth date of deceased: 28 November 1873
Age: 71 years, 08 months, 28 days
Birthplace: Sassafras, Ky.
Occupation: Farming
Industry or business: (blank)
Father Name: John KELLY
Father Birthplace: Sassafras, Ky.
Mother Maiden Name: Sarah HAMMONDS
Mother Birthplace: Carry, Ky.
Informant: Fannie KELLY, Anco, Ky.
Burial Place: Anco, Ky.
Date: 28 August 1945
Signature of funeral director: George Higgins, Vicco,
Kentucky
Date received by local registrar: 26 November 1945
Registrar's Signature: Rose B. Craft
Date of Death: 26 August 1945
I hereby certify that I attended deceased from 26 August 1945 to
26 August 1945, that I last saw him alive on (blank), and that
death occurred on the date stated above at 10 a.m.
Immediate cause of death: Cancer of stomach. I was
called to see him and he was dead when I got there.
Heart (illegible) with cancer.
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: M. F. Kelley, M.D., Hindman
Date signed: (blank)
Transcribed by Debbie Tamborski, 29 November 2010 |