Date: 07 June 1949
Cert: 16794
Place of Death: County: Knott
City or Town: Decoy, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Decoy Rural Street Address:
(blank)
Full Name: Loss MILLER
Date of Death: 07 June 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 14 June 1905
Age: 43 years, 11 months, 23 days
Usual Occupation: Farmer
Kind of Industry or business: Gen. Farming
Birthplace: Knott Co., Ky.
Father's Name: Woots MILLER
Mother's Maiden Name: Polly CLEMENS
Was deceased ever in armed forces: (blank)
Social Security No.: 406-01-8800
Informant: Louelzie MILLER
Disease or condition directly leading to death: Heart attack
Interval between onset and death: Died instantly
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
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 (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: 02 August 1949
Address: Hindman, Ky.
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Buried
Date: 07 June 1949
Name of Cemetery or Crematory: Press Bradley Cemetery
Location: Decoy, Breathitt Co., Ky.
Date received by local registrar: 02 August 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Neighbors, Decoy, Ky.
Transcribed by Debbie Tamborski, 07 January 2011 |