Date: 22 August 1953
Cert: 19134
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): Several years
Street address or location: Hindman, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
location: Hindman, Ky.
Full Name: Lawrence PATRICK
Date of Death: 22 August 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 13 January 1903
Age: 50 years
Usual Occupation: Hiway Employee
Kind of Industry or business: State Highway
Birthplace: Knott Co., Ky.
Father's Name: Lee PATRICK
Mother's Maiden Name: Rachel MESSER
Was deceased ever in armed forces: (blank)
Social Security No.: None
Informant: Mrs. Molly PATRICK
Disease or condition directly leading to death: Heart attack
Interval between onset and death: Sudden
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 at (blank), from the causes and on the
date stated above.
Date signed: 22 August 1953
Address: Hindman, Ky.
Signature: Jno. N. Taul (Coroner)
Burial, Cremation or Removal: Burial
Date: 24 August 1953
Name of Cemetery or Crematory: Holliday Cemetery
Location: Ary, Perry Co., Ky.
Date received by local registrar: 27 August 1953
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman
Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 10 February 2011 |