DEATH CERTIFICATE

GROVER CLEVELAND MESSER

Date:  11 November 1956
Cert: # 56-25984
Place of Death: County: Knott  City or Town: Handshoe - Rural
Length of stay (in this place): (blank)
Full Name of Hospital or Institution:  none
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Handshoe      Rural     
Street Address: (blank)    
Full Name:    Grover Cleveland MESSER
Date of Death:  11 November 1956 
Sex, Color or Race, Marital Status:   Male, White, Married
Date of Birth:  19 February 1889 
Age:  69 years
Usual Occupation:  (blank)
Kind of Industry or business: Merchant
Birthplace:   Ky.
Father's Name:    Lige MESSER
Mother's Maiden Name:  Sally MAGGARD 
Was deceased ever in armed forces: (blank)
Social Security No.: XXX-XX-XXX
Informant:  Herbit MESSER 
Disease/condition directly leading to death: Coronary occlusion
Interval between onset and death:  (blank)
Due to: (blank)
Other significant conditions: Collapsed while reaching up on high shelf in grocery.  Died instantly.
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Describe how injury occurred:  (blank)
Time of injury:  (blank)
Injury occurred at work: (blank)
Place of injury: (blank)
City, Town or Location, County, State: (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:   03 December 1956
Address:  Prestonsburg, Ky. 
Signature:  John Sizemore, M.D., Floyd County Health Dept. Clinician
Burial, Cremation or Removal: Burial
Date:    1956
Name of Cemetery or Crematory:   Handshoe Cemetery
Location:   Handshoe, Ky.
Date received by local registrar:   21 December 1956
Registrar's Signature: Myrtle Slone
Funeral director & address:  Turner & Ryan Funeral Home, Martin, Ky.
Transcribed by Debbie Tamborski, 26 April 2012