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DEATH
CERTIFICATE
ROBERT MCKEE
Date: 22 April 1940
Cert: 12873
Place of Death: County: Knott City or Town:
Cordia, Ky.
Name of Hospital or Institution: none
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Knott Co., Ky.
County: Knott
City or Town: Cordia
Full Name: Robert MCKEE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Joann MCKEE
Age of husband or wife if alive: wife 71 years
Birth date of deceased: 14 November 1868
Age: 72 years, 04 months, 08 days
Birthplace: Kentucky
Occupation: Farmer
Industry or business: (blank)
Father Name: John MCKEE
Father Birthplace: Ky.
Mother Maiden Name: Manerva SMITH
Mother Birthplace: Ky.
Informant/Address: (blank)
Burial Place: Young Cemetery
Date: 27 April 1940
Signature of funeral director/address: (blank)
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 22 April 1940
I hereby certify that I attended deceased from 01 April 1940 to
22 April 1940, that I last saw him alive on 22 April 1940, and
that death occurred on the date stated above at 10 p.m.
Immediate cause of death: Chronic Dilatation of the
heart
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: 08 May 1940
Transcribed by Debbie Tamborski, 27 August 2010 |
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