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DEATH
CERTIFICATE
GEORGE WASHINGTON
MADDEN
Date: 07 May 1949
Cert: 10496
Place of Death: County: Perry City or Town:
Hazard
Length of stay (in this place): 08
Name of Hospital or Institution: Mt. Mary
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Vicco Street Address: (blank)
Full Name: George Washington MADDEN
Date of Death: 07 May 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 1884
Age: 64 years
Usual Occupation: Miner
Kind of Industry or business: coal mine
Birthplace: Ky., Knott Co.
Father's Name: Jack MADDEN
Mother's Maiden Name: Lizza EVERAGE
Was deceased ever in armed forces: (blank)
Social Security No.: 405-05-9389
Informant: (blank)
Disease/condition directly leading to death: Cerebral
hemorrhage
Interval between onset and death: 08 days
Due to: Hypertension
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: No
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 29 April 1949 to
07 May 1949, that I last saw the deceased alive on 07 May 1949, and
that death occurred at 2:40 a.m., from the causes and on the
date stated above.
Date signed: 13 May 1949
Address: Hazard
Signature: E. C. Boggs, M.D.
Burial, Cremation or Removal: Burial
Date: 08 May 1949
Name of Cemetery or Crematory: Madden
Location: Amburgey, Ky.
Date received by local registrar: 15 May 1949
Registrar's Signature: Helen C. Burriss
Funeral director & address: Maggard & Garrett,
Hazard, Ky.
Transcribed by Debbie Tamborski, 13 July 2010 |
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