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DEATH
CERTIFICATE
DON GLENNIS MULLINS
Date 01 May 1944
Cert: 11315
Place of Death: County: Floyd Co. City or
Town: Martin, Ky.
Name of Hospital or Institution: Beaver Valley
Length of stay in hospital or community: Six days
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Dry Creek
Full Name: Don Glennis 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: 05 August 1943
Age: 07 months, 26 days
Birthplace: Knott Co.
Occupation: babe
Industry or business: (blank)
Father Name: Dewey MULLINS
Father Birthplace: Knott Co.
Mother Maiden Name: Elsa MEADE
Mother Birthplace: Knott Co.
Informant: Dewy MULLINS, Dry Creek, Ky.
Burial Place: Dry Creek, Ky.
Date: 02 May 1944
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 25 May 1944
Registrar's Signature: Winifred Norris
Date of Death: 01 May 1944
I hereby certify that I attended deceased from 25 April 1944 to
01 May 1944, that I
last saw him alive on 01 May 1944, and that death occurred on the date
stated above at 10:00 a.m.
Immediate cause of death: Bronchial pneumonia
Other conditions: Diarrhea
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: J. A. Stumbo, M.D., Martin, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 08 February 2010 |
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