Date: 19 September 1945
Cert: 21796
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Hi Hat
Full Name: Charles Arnold MULLINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 17 March 1945
Age: 06 months, 02 days
Birthplace: Floyd Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Dewey MULLINS
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Elsie MEADE
Mother Birthplace: Knott Co., Ky.
Informant: Dewey MULLINS, Hi Hat, Ky.
Burial Place: Hi Hat, Ky.
Date: 20 September 1945
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 05 October 1945
Registrar's Signature: Rose B. Craft
Date of Death: 19 September 1945
I hereby certify that I attended deceased from 09 September
1945 to
19 September 1945, that I last saw him alive on 19 September
1945, and that death occurred on the date stated above at 7:00
p.m.
Immediate cause of death: Pneumonia
Duration: (blank)
Due to: Meningitis
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: J. A. Stumbo, M.D., Lackey, Ky.
Date signed: 05 October 1945
Transcribed by Debbie Tamborski, 29 November 2010 |