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DEATH
CERTIFICATE
CHARLEY MULLINS
Date: 24 May 1949
Cert: 11334
Place of Death: County: Fayette City or Town:
Lexington
Length of stay (in this place): (blank)
Name of Hospital or Institution: St. Joseph
Usual Residence of Deceased: State: Ky. County:
Lincoln
City or Town: Crab Orchard Rural Street Address: (blank)
Full Name: Charley MULLINS
Date of Death: 24 May 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 21 May
Age: 31 years
Usual Occupation: (blank)
Kind of Industry or business: Machinist
Birthplace: Ky., Knot Co.
Father's Name: Willie MULLINS
Mother's Maiden Name: Maggie Magline
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mrs. Carrie MULLINS
Disease or condition directly leading to death:
Encephalomyelitis Rapidly ascending "transversemyelitis"
Interval between onset and death: 16 days
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 15 May 1949 to
24 May 1949, that I last saw the deceased alive on 24 May 1949, and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 17 June 1949
Address: 200 West Second St., Lexington, Kentucky
Signature: Harvey Chenault, M.D.
Burial, Cremation or Removal: Burial
Date: 26 May 1949
Name of Cemetery or Crematory: Willie Mullins Cemetery
Location: Crab Orchard, Ky., Rt. 1
Date received by local registrar: 24 May 1949
Registrar's Signature: D. A. Furlong
Funeral director & address: Beazley and (illegible),
Ky.
Transcribed by Debbie Tamborski, 13 July 2010 |
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