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DEATH
CERTIFICATE
ADOLPH MULLINS
Date 29 May 1953
Cert: 13244
Place of Death: County: Perry City or Town:
Vicco
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: Vicco
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Smithsboro Street
Address: Smithsboro
Full Name: Adolph MULLINS
Date of Death: 29 May 1953
Sex, Color or Race, Marital Status: Male, White, Never married
Date of Birth: 06 April 1934
Age: 19 years, 01 months, 23 days
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Kentucky
Father's Name: Troy MULLINS
Mother's Maiden Name: Della MAE COMBS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Troy MULLINS
Disease or condition directly leading to death: Knife
wound
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: homicide
Place of injury: (blank)
City or Town, County, State: Vicco, Perry, Ky.
Time of Injury: 29 May 1953
Injury occurred at work: Not while at work
How did injury occur: was stabbed in left chest
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: 03 June 1953
Address: Hazard, Ky.
Signature: Hannibal B. Shockey, Coroner Perry Co., Ky.
Burial, Cremation or Removal: Burial
Date: 31 May 1953
Name of Cemetery or Creamatory: Combs Family
Location: Smithsboro, Knott, Ky.
Date received by local registrar: 05 June 1953
Registrar's Signature: Georgia P. Surer
Funeral director and address: Engle Funeral Home,
Hazard, Ky., Wm. Engle, Jr.
Transcribed by Debbie Tamborski, 21 February 2010 |
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