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DEATH
CERTIFICATE
JOHN M. MOSLEY
Date 12 February 1952
Cert: 02301
Place of Death: County: Floyd City or Town:
Rural
Length of stay in hospital or community: Passing
Name of Hospital or Institution: Melvin, Ky.
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Rural Location:
Pippapass, Ky.
Full Name: John M. MOSLEY
Date of Death: 12 February 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: unknown
Age: app. 35 years
Usual Occupation: labor
Kind of Industry or business: common labor
Birthplace: Knott County, Ky.
Father's Name: Adam E. MOSLEY
Mother's Maiden Name: Bell SLONE
Was deceased ever in armed forces: (blank)
Social Security No.: 403-14-3?4?
Informant: Mrs. John M. MOSLEY
Disease or condition directly leading to death: Broken
neck
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Accident, suicide, or homicide: Accident
Place of injury: Highway
City or Town, County, State: Melvin, Floyd, Ky.
Time of Injury: 12 February 1952
Injury occurred at work: Not while at work
How did injury occur: Motor vehicle accident
I hereby certify that I attended deceased from (blank) to
(blank), that I
last saw the deceased alive on (blank), and that death occurred on
the date stated above at (blank), from the causes and on the date
stated above.
Date signed: 25 February 1952
Address: Prestonsburg, Ky.
Signature: James J. (illegible), Coroner
Burial, Cremation or Removal: Burial
Date: 15 February 1952
Name of Cemetery or Creamatory: Family Cemetery
Location: Drift, Floyd Co., Ky.
Date received by local registrar: 26 February 1952
Registrar's Signature: Lucy Ransdell
Funeral director and address: (illegible), Hindman, Ky.
Transcribed by Debbie Tamborski, 20 February 2010 |
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