Date:  14 December 1952
Cert:  26322 
Place of Death: County: Knott County   City or Town: Hindman
Length of stay (in this place): 11 years
Street address or location:  Home
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Hindman     Street Address: (blank)
Full Name:  Raymond MELVIN
Date of Death:  14 December 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  12 December 1903
Age:  49 years 
Usual Occupation:  (blank)
Kind of Industry or business: (blank)
Birthplace:  Johnson County, Kentucky
Father's Name:  George MELVIN
Mother's Maiden Name:  Regenia MCDOWELL
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Mrs. Beulah ROBERTS
Disease or condition directly leading to death:  Accidental falling down stairs
Interval between onset and death:  (blank)
Due to:  Hemorrhage
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (Yes and No both checked)
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 (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  18 December 1952
Address:  Hindman, Ky.
Signature:  Jno. N. Taul (Coroner)
Burial, Cremation or Removal:  Burial
Date:  16 December 1952
Name of Cemetery or Crematory:  Melvin Cemetery
Location:  Staffordsville, Kentucky
Date received by local registrar:  18 December 1952
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Lloyd H. Preston, Paintsville, Ky.
Transcribed by Debbie Tamborski, 26 January 2011