Date: 28 February 1948
Cert: 23457
Place of Death: County: Knott City or
Town: Smithsboro, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Smithsboro
Rural
Full Name: John MADDEN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Cinda CODY
Age of husband or wife if alive: 67 years
Birth date of deceased: 30 November 1870
Age: 77 years, 02 months, 28 days
Birthplace: Knott Co., Ky.
Occupation: Carpenter
Industry or business: (blank)
Father Name: Wid MADDEN
Father Birthplace: Irishman Creek
Mother Maiden Name: Martha Ann SMITH
Mother Birthplace: Smithsboro, Ky.
Informant: Cinda CODY MADDEN, Smithsboro
Burial Place: Cornett Hill
Date: 29 February 1948
Signature of funeral director: Friends, Smithsboro
Date received by local registrar: 12 November 1948
Registrar's Signature: Rose B. Craft
Date of Death: 28 February 1948
I hereby certify that I attended deceased from 01 January 1948
to
28 February 1948, that I last saw him alive on 14 February
1948, and that death
occurred on the date stated above at 10 p.m.
Immediate cause of death: appoplexia
Duration: (blank)
Due to: (blank)
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 & Address: M. F. Kelley, M.D., Hindman,
Ky.
Date signed: 13 November 1948
Transcribed by Debbie Tamborski, 27 December 2010 |