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DEATH
CERTIFICATE
SUSAN LAWSON
Date 18 June 1944
Cert: 16960
Place of Death: County: Perry City or
Town: Hazard
Name of Hospital or Institution: Hazard Hospital
Length of stay in hospital or community:
Usual Residence of Deceased: State: Ky.
County: Knott Co.
City or Town: Rural
Full Name: Susan LAWSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Will LAWSON
Age of husband or wife if alive: 72
Birth date of deceased: no information
Age: 61 years
Birthplace: Knott Co.
Occupation: House wife
Industry or business: (blank)
Father Name: Barlow GRIBSY
Father Birthplace: Knott Co.
Mother Maiden Name: Rennie COPLIN
Mother Birthplace: Knott Co.
Informant: Will LAWSON, Sassafras, Ky.
Burial Place: Combs Cem.
Date: 20 June 1944
Signature of funeral director: Maggard, Hazard, Ky.
Date received by local registrar: 01 August 1944
Registrar's Signature: Anna L. Boulos
Date of Death: 18 June 1944
I hereby certify that I attended deceased from 18 June 1944 to
18 June 1944, that I
last saw him alive on 18 June 1944, and that death occurred on the date
stated above at 3 p.m.
Immediate cause of death: Shock
Due to: Crushing injury to pelvis
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 18 July 1944
Where did injury occur: highway
While at work: no
Means of injury: Car accident
Signature: Chris S. Jackson, M.D., Hazard, Ky.
Date signed: 08 July 1944
Transcribed by Debbie Tamborski, 08 February 2010 |
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