|
DEATH
CERTIFICATE
CHARLES RICHARD KILGORE
Date 25 August 1952
Cert: 18428
Place of Death: County: Fayette City or Town:
Lexington
Length of stay in hospital or community: 01 Day
Name of Hospital or Institution: St. Joseph Hospital
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Hindman
Full Name: Charles Richard KILGORE
Date of Death: 25 August 1952
Sex, Color or Race, Marital Status: Male, White, Never married
Date of Birth: 07 November 1951
Age: (over) 09 months, 18 days
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Hindman, Ky.
Father's Name: John KILGORE
Mother's Maiden Name: FRIEDER (Unobtainable) [sic]
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: John KILGORE
Disease or condition directly leading to death: Poliomyelitis,
ant. acute (illegible) spinal type
Interval between onset and death: 05 days
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 24 August 1952 to
25 August 1952, that I
last saw the deceased alive on 25 August 1952, and that death occurred on
the date stated above at 8:25 p.m., from the causes and on the date
stated above.
Date signed: 03 September 1952
Address: 322 W. Second St., Lexington, Ky.
Signature: Richard E. Elliott, M.D.
Burial, Cremation or Removal: Burial
Date: 26 August 1952
Name of Cemetery or Creamatory: Hindman
Location: Hindman, Ky.
Date received by local registrar: 06 September 1952
Registrar's Signature: D. A. Furlong
Funeral director and address: Taul & Hornsby, Hindman,
Ky.
Transcribed by Debbie Tamborski, 20 February 2010 |
|