Date: 09 March 1949
Cert: 05619
Place of Death: County: Knott
City or Town: Garner
Length of stay (in this place): 40 years
Street address or location: Died at home
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Garner, Ky. Street
Address: On Slone Fork
Full Name: Clifton MOSLEY
Date of Death: 09 March 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 19 March 1880
Age: 68 years
Usual Occupation: Miner
Kind of Industry or business: Coal Mining
Birthplace: Kentucky
Father's Name: Lindsey MOSLEY
Mother's Maiden Name: Delana MOORE
Was deceased ever in armed forces: (blank)
Social Security No.: 405-07-3577
Informant: Rob MOSLEY
Disease or condition directly leading to death: Fracture
of pelvis, puncture bladder hemothorax
Interval between onset and death: January 15th
Due to (b): automobile accident
Interval between onset and death: March 9th
Other significant conditions: Osteomyelitis involving pelvic
bone
Date of Operation: (blank)
Major findings of operation: Punctured bladder
Autopsy: (blank)
Accident, suicide, or homicide: Accident
Place of injury: On highway
City or Town, County, State: Mousie, Knott, Ky.
Time of Injury: 15 January 1949
Injury occurred at work: While at work
How did injury occur: Ran over by truck
I hereby certify that I attended deceased from 15 January 1949
to 16 January 1949 also 02-03 & 04 March, that I last saw the
deceased alive on 04 March 1949, and that death occurred at
8:30 p.m., from the causes and on the date stated above.
Date signed: 31 March 1949
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 11 March 1949
Name of Cemetery or Crematory: Slone Cemetery
Location: Garner, Ky.
Date received by local registrar: 31 March 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: W. J. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 07 January 2011 |