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DEATH
CERTIFICATE
CLIFTON NAPIER
Date: 25 July 1947
Cert: 20832
Place of Death: County: Perry City or Town:
Tina
Hospital or Institution: Hurst-Snyder
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Perry
City or Town: Tina
Full Name: Clifton NAPIER
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: 10 January 1947
Age: 00 years, 06 months, 15 days
Birthplace: Knott
Occupation: (blank)
Industry or business: (blank)
Father Name: H. N NAPIER
Father Birthplace: Ky.
Mother Maiden Name: Mable RICHIE
Mother Birthplace: Va.
Informant: H. N. NAPIER, Tina, Ky.
Burial Place: Tina
Date: 26 July 1947
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 13 August 1947
Registrar's Signature: Pearl G. Combs
Date of Death: 25 July 1947
I hereby certify that I attended deceased from 22 July 1947 to
25 July 1947, that I last saw him alive on 25 July 1947, and
that death occurred on the date stated above at 9:30 a.m.
Immediate cause of death: Dehydration & circulatory or
vascular collapse (Acute Enteritis)
Duration: (blank)
Due to: Acute Bacillary dysentery
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: Paul W. Gutsche, M.D., Hazard,
Ky.
Date signed: 13 August 1947
Transcribed by Debbie Tamborski, 24 June 2010 |
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