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DEATH
CERTIFICATE
ESTILL PIGMAN
Date: 01 October 1946
Cert: 22649
Place of Death: County: Perry City or Town:
Rural
Street No. or Location: Stoker Coal Mines
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Rural
Full Name: Estill PIGMAN
If Veteran Name War: (blank)
Social Security No.: 403-07-6180
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Myrtel SEALS Pigman
Age of husband or wife if alive: 28
Birth date of deceased: 13 June 1911
Age: 35 years, 03 months, 17 days
Birthplace: Knott County
Occupation: Miner
Industry or business: Coal Miner
Father Name: Willie PIGMAN
Father Birthplace: Knott Co.
Mother Maiden Name: Jane NOBLE
Mother Birthplace: Knott Co.
Informant: Garland PIGMAN, Red Fox, Ky.
Burial Place: Hale Cemetery
Date: 05 October 1946
Signature funeral director: Johnson Funeral Home, Hazard, Ky.
Date received by local registrar: 02 October 1946
Registrar's Signature: Opsie J. Deaton
Date of Death: 01 October 1946
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Slate fall in mine. Broken
back and other injurys.
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Ed. H. Ivey,
Coroner P.C. Ky., Hazard, Ky.
Date signed: 01 October 1946
Transcribed by Debbie Tamborski, 11 June 2010 |
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