DEATH CERTIFICATE

CLIFTON MOSLEY

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