Date: 29 February 1948
Cert: 05959
Place of Death: County: Knott City or
Town: Dry Creek, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: (blank)
City or Town: Dry Creek Rural
Full Name: Elmer Alonzo KISER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Ora COLLINS KISER
Age of husband or wife if alive: 20 years
Birth date of deceased: 29 September 1925
Age: 22 years, 05 months, 00 days
Birthplace: Dry Creek, Ky.
Occupation: Mining
Industry or business: (blank)
Father Name: Alonzo KISER
Father Birthplace: Russell Co., Va.
Mother Maiden Name: Evaline COOK
Mother Birthplace: Dry Creek
Informant: Alonzo KISER, Dry Creek, Ky.
Burial Place: Family Cem. - Dry Creek
Date: 01 March 1948
Signature of funeral director: Friends, Dry Creek
Date received by local registrar: 22 March 1948
Registrar's Signature: Rose B. Craft
Date of Death: 29 February 1948
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 12:15 a.m.
Immediate cause of death: Shot with a 12 gauge shot gun
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Homicide
Date of occurrence: 29 February 1948
Where did injury occur: In a neighbor's house
While at work: No
Means of injury: 12 gauge shotgun
Signature & Address: J. W. Duke, M.D., Hindman, Ky.
Date signed: 01 April 1948
Transcribed by Debbie Tamborski, 27 December 2010 |