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DEATH
CERTIFICATE
JOHN NAPIER
Date 19 August 1942
Cert: 25297
Place of Death: County: Perry City or Town:
Rural
Street No. or Location: Noble
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County: Perry
City or Town: Rural If rural
give precinct: Noble
Full Name: John NAPIER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: ? 1885 [sic]
Age: 57 years
Birthplace: Knott Co., Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: James NAPIER
Father Birthplace: Knott Co.
Mother Maiden Name: Nancy NAPIER
Mother Birthplace: Knott Co.
Informant: Irvin NAPIER, Noble, Ky.
Burial Place: Noble
Date: 20 August 1942
Signature of funeral director: Engle Und. & Hdwe., Hazard, Ky.
Date received by local registrar: 01 November 1942
Registrar's Signature: Anna Laura Boulos
Date of Death: 19 August 1942
I hereby certify that I attended deceased from 12 July 1942 to
only, that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Peri cardititis (illegible) effusion
Duration: (blank)
Due to: (blank)
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: S. M. Richie, M.D., Hazard, Ky.
Date signed: 07 October 1942
Transcribed by Debbie Tamborski, 26 May 2010 |
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