|
DEATH
CERTIFICATE
WILLIAM ROBERT LITTLE
Date: 08 June 1953
Cert: 12883
Place of Death: County: Letcher City or Town:
Deane
Length of stay (in this place): (blank)
Street address or location: Deane, Ky.
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: Jenkins Street
Address: 487 High Street
Full Name: William Robert LITTLE
Date of Death: 08 June 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 20 February 1920
Age: 33 years
Usual Occupation: Electrician
Kind of Industry or business: Mining
Birthplace: Knot Co., Ky.
Father's Name: Oliver LITTLE
Mother's Maiden Name: Dorothy DEAN
Was deceased ever in armed forces: Yes, World War II
Social Security No.: 407-01-0014
Informant: Carlos LITTLE, Brother
Disease or condition directly leading to death: Respiratory
failure
Interval between onset and death: 10 minutes
Due to: Electric Shock
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: Accident
Place of injury: Deane, Ky.
City or Town, County, State: Deane, Letcher, Ky.
Time of Injury: 08 June 1953 9:20 p.m.
Injury occurred at work: Yes
How did injury occur: Electrocuted by mining fence coal truck
I hereby certify that I attended deceased from 08 June 1953 to
08 June 1953, that I last saw the deceased alive on (blank), and
that death occurred at 9:30 p.m., from the causes and on the
date stated above.
Date signed: 15 June 1953
Address: Fleming, Ky.
Signature: A. B. Carter, M.D.
Burial, Cremation or Removal: Burial
Date: 12 June 1953
Name of Cemetery or Crematory: Family Cemetery
Location: Hi Hat, Ky., Floyd Co.
Date received by local registrar: 15 June 1953
Registrar's Signature: G. W. Collins
Funeral director & address: (illegible) Banks, Neon,
Craft Funeral Home
Transcribed by Debbie Tamborski, 13 August 2010 |
|