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DEATH
CERTIFICATE
CHARLES PHILLIPS
Date 27 December 1951
Cert: 27266
Place of Death: County: Perry City or Town:
Hazard
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: Mount Mary Hosp.
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Elm Rock, Ky.
Full Name: Charles PHILLIPS
Date of Death: 27 December 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: unknown
Age: 69 years
Usual Occupation: Miner
Kind of Industry or business: Mining
Birthplace: Jackson Co.
Father's Name: Jim PHILLIPS
Mother's Maiden Name: Unknown
Was deceased in armed forces: Yes, Spanish American War
Social Security No.: (blank)
Informant: Ed PHILLIPS
Disease/condition directly leading to death: Cerebral
hemorrhage
Interval between onset and death: 01 day
Due to: Hypertension & arteriosclerosis
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for 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 27 December
1951 to 27 December 1951, that I
last saw the deceased alive on 27 December 1951, and that death occurred on
the date stated above at 8:30 p.m., from the causes and on the date
stated above.
Date signed: (illegible) January 1952
Address: Hazard, Ky.
Signature: Martin Palmer, M.D.
Burial, Cremation or Removal: Burial
Date: 30 December 1951
Name of Cemetery or Creamatory: Lucy Hall
Location: Allen, Floyd Co., Ky.
Date received by local registrar: 14 January 1952
Registrar's Signature: Georgia P. Surer
Funeral director/address: Hall Bros. Funeral Home,
Martin, Ky.
Transcribed by Debbie Tamborski, 17 February 2010 |
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