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DEATH
CERTIFICATE
MANUEL MORTON
Date 05 July 1934
Cert: 17699
Place of Death: Voting Pct.: Upper Blackey, Letcher Co.,
Ky.
Full Name: Manuel MORTON
Residence: Blackey, Ky.
Length of Residence: 01 years, 06 months, 10 days
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Date of Birth: 01 May 1912
Age: 22 years, 01 months, 05 days
Occupation: (blank)
Birthplace: Knott Co., Ky.
Father Name: Richard MORTON
Birthplace Father: Knott Co., Ky.
Mother Maiden Name: Mary SEALS
Birthplace Mother: Hancock Co., Tenn.
Informant/Address: Mother, Blackey
Burial Cremation Removal Place: Knott Co.
Date: 06 July 1934
Undertaker/Address: (blank)
Filed: 09 July 1934
Registrar: M. Whitaker
Death of Date: 05 July 1934
I hereby certify, That I attended deceased from 1934 to
1934, that I last saw him alive on 1934, death is said to have
occurred on the date stated above, at 5 a.m.
Cause of Death: Tuberculosis of lungs
Date of onset: 1933
Cause of Death:
Oedema of lungs
Date of onset: 1934
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: C. B. Ison, M.D., Blackey, Ky.
Transcribed by Debbie Tamborski, 16 April 2010 |
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