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DEATH
CERTIFICATE
DENNIS MESSER
Date 08 December 1943
Cert: 28235
Place of Death: County: Perry City or Town:
Hazard
Hospital or Institution: Hazard Hospital Co.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Vest
Full Name: Dennis MESSER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 03 October 1930
Age: 13 years
Birthplace: Vest, Ky.
Occupation: Student
Industry or business: (blank)
Father Name: Ferd MESSER
Father Birthplace: Knott Co.
Mother Maiden Name: Mold??? DOBSON
Mother Birthplace: (illegible), Ky.
Informant: (blank)
Burial Place: Vest
Date: 09 December 1943
Signature funeral director: Maggard Funeral Home, Hazard, Ky.
Date received by local registrar: 30 December 1943
Registrar's Signature: Anna L. Boulos
Date of Death: 08 December 1943
I hereby certify that I attended deceased from 07 December
1943 to
08 December 1943, that I last saw him alive on (blank), and
that death occurred on the date stated above at 12:30 a.m.
Immediate cause of death: Contusion to skull (illegible
& rt. illegible organ)
Duration: 12 hours
Other conditions: shock
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 07 December 1943
Where did injury occur: Farm
While at work: yes
Means of injury: (illegible) on his head
Signature & Address: Chris S. Jackson, M.D., Hazard,
Ky.
Date signed: (illegible) December 1943
Transcribed by Debbie Tamborski, 31 May 2010 |
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