Date: 04 January 1953
Cert: 01270
Place of Death: County: Knott
City or Town: Hindman Rural
Length of stay (in this place): 20 years
Street address or location: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman Rural If rural give
location:
(blank)
Full Name: J. C. NEWLAND
Date of Death: 04 January 1953
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 12 April 1880
Age: 72 years
Usual Occupation: (blank)
Kind of Industry or business: Farmer
Birthplace: Ky.
Father's Name: W. F. NEWLAND
Mother's Maiden Name: Jenny EVERAGE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Elizabeth PRATER
Disease or condition directly leading to death: Paralysis
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 December
1952 to
04 January 1953, that I last saw the deceased alive on 04
January 1953, and
that death occurred at 6:30 a.m., from the causes and on the
date stated above.
Date signed: 06 January 1953
Address: Hindman, Ky.
Signature: M. F. Kelley, M.D.
Burial, Cremation or Removal: Burial
Date: 05 January 1953
Name of Cemetery or Crematory: Amburgy Cemetery
Location: Hindman, Ky.
Date received by local registrar: 07 January 1953
Registrar's Signature: Rose B. Craft
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 09 February 2011 |