Date: 06 November 1946
Cert: 20408
Place of Death: County: Knott City or
Town: Garner, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Garner Rural
Full Name: Richard MOSLEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Divorced
Husband or Wife of: Divorced
Age of husband or wife if alive: (blank)
Birth date of deceased: Unknown
Age: 69 years
Birthplace: Floyd Co., McDowell
Occupation: Farmer
Industry or business: (blank)
Father Name: Nathaniel MOSLEY
Father Birthplace: Arkansas or Oklahoma
Mother Maiden Name: Polly MOORE
Mother Birthplace: Floyd Co., Ky.
Informant: Clifton MOSLEY, Garner, Ky.
Burial Place: Garner, Ky.
Date: 08 November 1946
Signature of funeral director: Friends, Garner, Ky.
Date received by local registrar: 13 September 1947
Registrar's Signature: Rose B. Craft
Date of Death: 06 November 1946
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 1 a.m.
Immediate cause of death: Disease of the heart
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: M. F. Kelley, M.D., Hindman, Ky.
Date signed: 03 June 1947
Transcribed by Debbie Tamborski, 14 December 2010 |