Date 02 April 1954
Cert: # 18292
Place of Death: County: Knott
City or Town: Topmost
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: Rural
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Topmost
Full Name: Jay Little
Date of Death: 02 April 1954
Sex, Color or Race, Marital Status: male, white, married
Date of Birth: 1927
Age: 27
Usual Occupation: Farmer
Kind of Industry or business: Home Farm
Birthplace: Kentucky
Father's Name: Unknown
Mother's Maiden Name: Unknown
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant:
Disease or condition directly leading to death: Burned to
Death when Home Burned
Interval between onset and death:
Due to:
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: Accident
Place of injury: In His Home
City or Town, County, State: Topmost Knott Ky
Time of Injury: 02 April 1954
Injury occurred at work: (blank)
How did injury occur: His house burned and fell in on the man
burning him beyond recognition
I hereby certify that I attended deceased from to (blank),
that I last saw the deceased alive on , and that death
occurred on the date stated above at from the causes and on
the date stated above.
Date signed: 16 July 1954
Address:
Signature: John Everage, Coroner, Knott Co
Burial, Cremation or Removal: Burial
Date: 02 April 1954
Name of Cemetery or Crematory: Family Cemetery
Location: Topmost Knott Ky
Date received by local registrar: 05 April 1954
Registrar's Signature: Mrs. Rose B. Craft
Funeral director and address: John H. Taul ~ Hindman Funeral
Home ~ Hindman, Kentucky
Transcribed by Gloria Marcum ~ 15 March 2010 |