Date: 05 May 1953
Cert: 15048
Place of Death: County: Knott
City or Town: Lackey
Length of stay (in this place): 03 hours
Name of Hospital or Institution: Stumbo Hospital
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Lackey Rural
If rural give location: Dry Creek, Ky.
Full Name: Claude MULLINS
Date of Death: 05 May 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 25 April 1910
Age: 43 years
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace: Knott Co., Ky.
Father's Name: Mack MULLINS
Mother's Maiden Name: Cordelia CAUDILL
Was deceased ever in armed forces: Do Not Know
Social Security No.: None
Informant: Delia MULLINS
Disease/condition directly leading to death: Cerebral
Hemorrhage
Interval between onset and death: (blank)
Due to (b): Hypertension
Due to (c): Chronic Nephritis
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 13 May 1953
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 07 May 1953
Name of Cemetery or Crematory: Family Cemetery
Location: Knott Co., Ky.
Date received by local registrar: 29 June 1953
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address: John N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 09 February 2011 |