DEATH CERTIFICATE

CLARENCE EDWARD LAWSON

Date:  11 April 1953
Cert:  17003 
Place of Death: County: Knott      City or Town: Lackey
Length of stay (in this place): (blank)
Street address or location:  Stumbo Memorial
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Ivis  (Rural)    If rural give location: (blank)
Full Name:  Clarence Edward LAWSON 
Date of Death:  11 April 1953 
Sex, Color or Race, Marital Status:  Male, White, No
Date of Birth:  12 March 1950 
Age:  03 years
Usual Occupation:  No
Kind of Industry or business: No
Birthplace:  Ivis, Ky. 
Father's Name:  Melvin LAWSON 
Mother's Maiden Name:  Dora 
Was deceased ever in armed forces: (blank)
Social Security No.:  (blank)
Informant:  Dora LAWSON 
Disease or condition directly leading to death: Severe burns
Interval between onset and death:  (blank)
Due to:  
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
Accident, suicide, or homicide: accident
Place of injury: Rural home
City or Town, County, State: Ivis, Kentucky, Knott County
Time of Injury: 10 April 1953, 12 a.m.
Injury occurred at work: Not while at work
How did injury occur: Fell in tub of water
I hereby certify that I attended deceased from 10 April 1953 to 11 April 1953, that I last saw the deceased alive on 11 April 1953, and that death occurred at 7:30 p.m., from the causes and on the date stated above.
Date signed:  15 April 1953 
Address:  Lackey, Ky. 
Signature:  Curtis G. Wherry, M.D. 
Burial, Cremation or Removal:  Burial
Date:  13 April 1953 
Name of Cemetery or Crematory:  Ivis Cemetery
Location:   Ivis, Ky. 
Date received by local registrar:  16 July 1953
Registrar's Signature:  Mrs. Rose B. Craft
Funeral director & address:  John Everage, Hindman, Ky. 
Transcribed by Debbie Tamborski, 09 February 2011