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DEATH
CERTIFICATE
DARWIN TILLSON
MAGGARD
Date: 30 April 1949
Cert: 06944
Place of Death: County: Franklin City or Town:
Frankfort
Length of stay (in this place): 01 day
Name of Hospital or Institution: Kings Daughter Hospital
Usual Residence of Deceased: State: Kentucky County:
Perry
City or Town: Hazard Street Address:
Full Name: Darwin Tillson MAGGARD
Date of Death: 30 April 1949
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 18 January 1921
Age: 28 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Knott County
Father's Name: James B. MAGGARD
Mother's Maiden Name: Barbara Alice SMITH
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: James B. MAGGARD
Disease or condition directly leading to death (a):
Prolapse of rectum 3rd recurrent
Interval between onset and death: 04 days
Due to: (blank)
Other significant conditions: Post operatic death
Date of Operation: 30 April 1949
Major findings of operation: See (a)
Autopsy: no
Accident, suicide, or homicide: (blank)
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 21 April 1949 to
30 April 1949, that I last saw the deceased alive on 30 April
1949, and
that death occurred at 8:30 p.m., from the causes and on the
date stated above.
Date signed: 30 April 1949
Address: Frankfort
Signature: B. D. Bingham, M.D.
Burial, Cremation or Removal: Burial
Date: 01 May 1949
Name of Cemetery or Crematory: Hazard
Location: Hazard, Ky.
Date received by local registrar: 30 April 1949
Registrar's Signature: Agnes B. Campbell
Funeral director & address: Borden Sullivan Funeral
Home, Frankfort, Ky.
Transcribed by Debbie Tamborski, 13 July 2010 |
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