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DEATH
CERTIFICATE
KENIS PIGMAN
Date 23 December 1928
Cert: 30137
Place of Death: Voting Pct.: Prestonsburg, Floyd Co.,
Ky.
Full Name: Kenis PIGMAN
Residence: (blank)
Length of Residence in city where death occurred:
(blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Ruth PIGMAN
Date of Birth: 26 June 1906
Age: 22 years, 05 months, 28 days
Occupation: Teacher
Birthplace: Dema, Ky.
Father Name: M. PIGMAN
Birthplace Father: Knott
Mother Maiden Name: Mary SLONE
Birthplace Mother: Dema
Informant/Address: M. PIGMAN, Dema, Ky.
Filed: 03 January 1929
Registrar: Belle Gardner
Death of Date: 23 December 1928
I hereby certify that I attended deceased from 18 December
1928 to
23 December 1928, that I last saw him alive on 23 December
1928, and that death occurred on the date stated above at 5
p.m.
Cause of Death: Lobar pneumonia
Duration: 04 days
Contributory: Influenza
Duration: 03 days
Where was disease contracted if not at place of death?:
(blank)
Did an operation precede death: no Date: (blank)
Was there an autopsy: no
What test confirmed diagnosis: (blank)
Signed/Address: O. T. Stephens, M.D., 23 December 1928,
Prestonsburg, Ky.
Place of Burial or Removal: Wayland
Date of Burial: 2? December 1928
Undertaker/Address: E. P. Arnold, Prestonsburg
Transcribed by Debbie Tamborski, 27 March 2010 |
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