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DEATH
CERTIFICATE
ARCHIE LUCUS
Date 22 December 1945
Cert: 27158
Place of Death: County: Perry City or
Town: Hazard
Name of Hospital or Institution: Hazard Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Anco, Ky.
Full Name: Archie LUCUS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Januta LUCUS
Age of husband or wife if alive: 31
Birth date of deceased: (blank)
Age: 29 years
Birthplace: Lotts Creek
Occupation: Miner
Industry or business: Blue Bird Coal Co.
Father Name: Ozine LUCUS
Father Birthplace: Lotts Creek
Mother Maiden Name: Orlana KELLY
Mother Birthplace: Lotts Creek
Informant: Rader SMITH, Anco, Ky.
Burial Place: Lotts Creek
Date: 26 December 1945
Signature of funeral director: Wm. Engle, Jr., Hazard, Ky.
Date received by local registrar: 24 December 1945
Registrar's Signature: Opsie J. Deaton
Date of Death: 22 December 1945
I hereby certify that I attended deceased from 21 December
1945 to
22 December 1945, that I
last saw him alive on 22 December 1945, and that death occurred on the date
stated above at 2:20 p.m.
Immediate cause of death: (illegible) hemorrhage
Due to: Fractured pelvis & left femur (mine accident)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: J. E. Hagan, M.D., Hazard, Ky.
Date signed: 24 December 1945
Transcribed by Debbie Tamborski, 09 February 2010 |
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