Date: 11 May 1947
Cert: 13815
Place of Death: County: Knott City or
Town: Rural Sassafras
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural Sassafras
Full Name: Herbert MULLINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Ida MULLINS
Age of husband or wife if alive: 72 years
Birth date of deceased: unknown
Age: 74 years
Birthplace: Ala.
Occupation: Miner
Industry or business: (blank)
Father Name: John MULLINS
Father Birthplace: Ala.
Mother Maiden Name: Missie STERLING
Mother Birthplace: Ala.
Informant: Hillard MULLINS, Sassafras, Ky.
Burial Place: Blackgold Cem.
Date: 13 May 1947
Signature of funeral director: Maggard & Blair, by R. E.
Cox, Hazard, Ky.
Date received by local registrar: 03 June 1947
Registrar's Signature: Rose B. Craft
Date of Death: 11 May 1947
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 2:15 p.m.
Immediate cause of death: Acute Pulmonary Edema
Duration: (blank)
Due to: High blood pressure
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: H. P. Duff, M.D., Kodak, Ky.
Date signed: 26 May 1947
Transcribed by Debbie Tamborski, 18 December 2010 |