Date: 29 November 1941
Cert: 11888
Place of Death: County: Knott City or
Town: Leburn, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Leburn
Full Name: Melvin C. PIGMAN
If Veteran Name War: World War #1
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Lizzie WATTS PIGMAN
Age of husband or wife if alive: 38 years
Birth date of deceased: 02 April 1893
Age: 48 years, 07 months, 24 days
Birthplace: Ivis, Knott Co., Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: Robin PIGMAN
Father Birthplace: Ky.
Mother Maiden Name: Lizzie STAMPER
Mother Birthplace: Leburn, Ky.
Informant: Lizzie PIGMAN, Leburn, Ky.
Burial Place: Ivis, Ky.
Date: 01 December 1941
Signature of funeral director: Lizzie Pigman, Leburn,
Ky.
Date received by local registrar: 30 March 1942
Registrar's Signature: Ida Livingston
Date of Death: 29 November 1941
I hereby certify that I attended deceased from 01 July 1941 to
29 November 1941, that I last saw h-- alive on 10 September
1941, and that death
occurred on the date stated above at 11 a.m.
Immediate cause of death: Disease of Liver Exposure in service
Duration: (blank)
Due to: (blank)
Major findings of operations: none Of
Autopsy: none
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: M. F. Kelley, Hindman
Date signed: 29 May 1942
Transcribed by Debbie Tamborski, 14 October 2010 |