Date: 11 January 1948
Cert: 08264
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Memo.
Length of stay in hospital or community: 06 days
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman
Full Name: Herald PERKINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Jennie PERKINS
Age of husband or wife if alive: 40 years
Birth date of deceased: 06 June 1902
Age: 45 years, 07 months, 05 days
Birthplace: Hindman
Occupation: Coal Miner
Industry or business: Coal
Father Name: Henry Perkins
Father Birthplace: Va.
Mother Maiden Name: Tina PUGH
Mother Birthplace: Va.
Informant: Grover PERKINS, Hindman, Ky.
Burial Place: Hindman
Date: 13 January 1948
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 09 April 1948
Registrar's Signature: Rose B. Craft
Date of Death: 11 January 1948
I hereby certify that I attended deceased from 06 January 1948 to
11 January 1948, that I last saw him alive on 11 January 1948, and that death
occurred on the date stated above at 10:30 a.m.
Immediate cause of death: Meningitis
Duration: (blank)
Due to: Compound skull fracture - result of accident in
coal mine
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: 06 January 1948
Where did injury occur: In coal mine
While at work: Yes
Means of injury: Blast went off before man could get out
Signature & Address: C. M. Aker, M.D., Lackey, Ky.
Date signed: 08 April 1948
Transcribed by Debbie Tamborski, 28 December 2010 |