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DEATH
CERTIFICATE
JAMES K. NOBLE
Date: 01 December 1947
Cert: 27681
Place of Death: County: Perry City or Town:
Dwarf
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Perry
City or Town: Rural If rural
give precinct: Dwarf, Ky.
Full Name: James K. NOBLE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Hannah NOBLE
Age of husband or wife if alive: 37 years
Birth date of deceased: 13 February 1907
Age: 40 years
Birthplace: Knott Co., Ky.
Occupation: Coal Miner
Industry or business: (blank)
Father Name: Dave NOBLE
Father Birthplace: Ky.
Mother Maiden Name: Sarah FELTNER
Mother Birthplace: Ky.
Informant: Hannah NOBLE, Dwarf, Ky.
Burial Place: Dwarf, Ky.
Date: 03 December 1947
Signature of funeral director: Joe Greer, Hazard, Ky.
Date received by local registrar: 10 December 1947
Registrar's Signature: Cleata D. Cox
Date of Death: 01 December 1947
I hereby certify that I attended deceased from 01 December
1947 to
01 December 1947, that I last saw him alive on 01 December
1947, and that death
occurred on the date stated above at (blank)
Immediate cause of death: Slate fall in mines, crushed chest,
etc.
Duration: (blank)
Due to: Slate fall
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 01 December 1947
Where did injury occur: Industry (mines)
While at work: Yes
Means of injury: (blank)
Signature & Address: Dr. C. B. Combs, M.D., Hazard,
Ky.
Date signed: 01 December 1947
Transcribed by Debbie Tamborski, 24 June 2010 |
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