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DEATH
CERTIFICATE
WOODROE MILLER
Date: 27 March 1950
Cert: 08466
Place of Death: County: Perry City or Town:
Rural
Length of stay (in this place): (blank)
Street Address or Location: Darfork
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Hazard Street
Address: Blue Grass
Full Name: Woodroe MILLER
Date of Death: 27 March 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 06 March 1913
Age: 37 years
Usual Occupation: Brakeman
Kind of Industry or business: R.R. Brakeman
Birthplace: Knott Co., Ky.
Father's Name: Mose MILLER
Mother's Maiden Name: Dice HAYES
Was deceased ever in armed forces: (blank)
Social Security No.: 404-09-5178
Informant: Martha MILLER
Disease or condition directly leading to death: Internal
injuries
Interval between onset and death: Instantly
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: accident
Place of injury: (blank)
City or Town, County, State: Darfork, Perry, Ky.
Time of Injury: 27 March 1950 9:30 p.m.
Injury occurred at work: Yes
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: 01 April 1950
Address: Hazard, Ky.
Signature: Hannibal Shockey, Coroner, Perry Co.
Burial, Cremation or Removal: Burial
Date: (blank)
Name of Cemetery or Crematory: (blank)
Location: Ky.
Date received by local registrar: 03 April 1950
Registrar's Signature: Georgia Pendleton
Funeral director & address: Joe Greer, Hazard, Ky.
Transcribed by Debbie Tamborski, 15 July 2010 |
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