Date: 21 September 1944
Cert: 27648
Place of Death: County: Knott City or
Town: Amburgey, Ky.
Street Number or Location: Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Amburgey, Ky.
Street No.: Rural
Full Name: James LAYNE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Ollie FRANKLIN LAYNE
Age of husband or wife if alive: 26 years
Birth date of deceased: 09 October 1915
Age: 28 years, 11 months, 12 days
Birthplace: Newport, Tenn.
Occupation: Miner
Industry or business: Working in mine
Father Name: James LANE
Father Birthplace: Ky.
Mother Maiden Name: Rachel KINSLEY
Mother Birthplace: Ky.
Informant: Mrs. Ollie LANE, Amburgey
Burial Place: Amburgey, Ky.
Date: 24 September 1944
Signature of funeral director: Maggards, Hazard, Ky.
Date received by local registrar: 04 December 1944
Registrar's Signature: Ida Livingston Rose B. Craft
Acting Reg.
Date of Death: 21 September 1944
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 6:30 a.m.
Immediate cause of death: Gun shot. Wife left man
sitting by fire & when she returned he was sitting dead in his
chair with gun clutched in his hands
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Suicide
Date of occurrence: 21 September 1944
Where did injury occur: In the home
While at work: (blank)
Means of injury: Gun
Signature & Address: J. W. Duke, M.D., Hindman, Ky.
Date signed: 08 December 1944
Transcribed by Debbie Tamborski, 14 November 2010 |