|
DEATH
CERTIFICATE
LEANDER D. PARKS
Date 09 April 1952
Cert: 13267
Place of Death: County: Perry City or Town:
Hazard, Ky.
Length of stay in hospital or community: 01 week
Name of Hospital or Institution: Mount Mary Hospital
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Rural Location:
Littcarr, Ky.
Full Name: Leander D. PARKS
Date of Death: 09 April 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: February 1874
Age: 78 years
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace: Va.
Father's Name: Freeland PARKS
Mother's Maiden Name: Sally (Hall crossed out) EADS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: (blank)
Disease or condition directly leading to death:
Congestive Heart Failure
Interval between onset and death: 03 weeks
Due to: Hypertension
Other significant conditions: Pleural Effusion - bloody
Date of Operation: (blank)
Major findings of operation: (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 (blank) to
(blank), that I
last saw the deceased alive on (blank), and that death occurred on
the date stated above at (blank), from the causes and on the date
stated above.
Date signed: 16 May 1952
Address: Hazard, Ky.
Signature: Martin Palmer, M.D.
Burial, Cremation or Removal: Burial
Date: 11 April 1952
Name of Cemetery or Creamatory: Family Cemetery
Location: Littcarr, Ky.
Date received by local registrar: 12 May 1952
Registrar's Signature: George P. Surer
Funeral director and address: None
Transcribed by Debbie Tamborski, 20 February 2010 |
|