|
DEATH
CERTIFICATE
GEORGE ORSBORN
Date 01 October 1919
Cert: 06091
Place of Death: Voting Precinct: Painter Harve,
Weeksbury, Floyd Co., KY.
Full Name: George ORSBORN
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 1891
Age: about 28 years
Occupation: Miner
Birthplace: Knott Co., Ky.
Name of Father: Sherd ORSBORN
Birthplace Father: Pike Co., Ky.
Maiden name of Mother: Sis TRIPPLET
Birthplace Mother: Floyd Co., Ky.
Informant/Address: Margarett ORSBORN
Filed: 01 October 1919
Registrar: E. H.Hall
Death Date: 01 October 1919
I hereby certify that I attended deceased from 01 October 1919, to
01 October 1919, that I last saw him alive on 01 October 1919, and that death
occurred, on the date stated above, at (blank)
Cause of Death: Slate fell on him
Duration: (blank)
Contributory: (blank)
Signed/Address: W. L. Stumbo, M.D., 30 March 1925,
Smalley
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Fl??? Orsborn Grave yd
Date of Burial: 02 October 1919
Undertaker/Address: Margarett Orsborn, Weeksbury, Ky.
Transcribed by Debbie Tamborski, 06 March 2010 |
|