Date: 02 November 1950
Cert: 23325
Place of Death: County: Knott
City or Town: Dema, Ky. Rural
Length of stay (in this place): (blank)
Full Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Dema Rural Street Address:
(blank)
Full Name: Dewey MULLINS
Date of Death: 02 November 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 27 October 1909
Age: 41 years
Usual Occupation: Mining
Kind of Industry or business: Coal
Birthplace: Knott Co., Ky.
Father's Name: Willard MULLINS
Mother's Maiden Name: Florence GIBSON
Was deceased ever in armed forces: No
Social Security No.: 403-10-1088
Informant: Willard MULLINS
Disease/condition directly leading to death: Tuberculosis of
lung
Interval between onset and death: (blank)
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 1947 to
27 October 1950, that I last saw the deceased alive on 1950, and
that death occurred at 12:50 a.m., from the causes and on the
date stated above.
Date signed: (illegible)
Address: ByPro, Ky.
Signature: (illegible) Osborn, M.D.
Burial, Cremation or Removal: (burial)
Date: 04 November 1950
Name of Cemetery or Crematory: Turner Cemetery
Location: Dema, Ky.
Date received by local registrar: 13 November 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: W. J. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 15 January 2011 |