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DEATH
CERTIFICATE
JOHN M. MULLINS
Date: 28 March 1951
Cert: 08316
Place of Death: County: Perry City or Town:
Scuddy
Length of stay (in this place): (blank)
Name of Hospital or Institution: None
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Scuddy Street Address: (blank)
Full Name: John M. MULLINS
Date of Death: 28 March 1951
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth: 05 July 1872
Age: 78 years
Usual Occupation: (blank)
Kind of Industry or business: Retired
Birthplace: Knott County, Ky.
Father's Name: Jasper MULLINS
Mother's Maiden Name: Polly STACY
Was deceased ever in armed forces: no
Social Security No.: (blank)
Informant: Ishmael MULLINS
Disease or condition directly leading to death: Cerebral
Apoplexy
Interval between onset and death: 27 March 1951
Due to: Cardio-Renal Disease
Interval between onset and death: 02 years
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 01 January 1950 to
28 March 1951, that I last saw the deceased alive on 28 March
1951, and
that death occurred at 12:30 p.m., from the causes and on the
date stated above.
Date signed: 05 April 1951
Address: Allock, Ky.
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 29 March 1951
Name of Cemetery or Crematory: Defiance Cemetery
Location: Scuddy, Ky.
Date received by local registrar: 11 April 1951
Registrar's Signature: Georgia P. Surer
Funeral director & address: Maggard and Garrett,
Hazard, Ky.
Transcribed by Debbie Tamborski, 30 July 2010 |
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