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DEATH
CERTIFICATE
PARROTT PINKS
Date: 16 March 1951
Cert: 05722
Place of Death: County: Magoffin Co., Ky. City or Town:
Gun Lock, Ky.
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Magoffin
City or Town: Gun Lock, Ky. Street Address: (blank)
Full Name: Parrott PINKS
Date of Death: 16 March 1951
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 06 December 1877
Age: 73 years, 03 months, 10 days
Usual Occupation: (blank)
Kind of Industry or business: Housework
Birthplace: Knott Co., Ky.
Father's Name: George ALLEN
Mother's Maiden Name: Mercure MULLINS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Samie PINKS
Disease or condition directly leading to death: Gun shot
wounds in left side of face, died instantly
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: Homicide
Place of injury: Home
City or Town, County, State: Gun Lock, Magoffin, Ky.
Time of Injury: 16 March 1951, 8:00 p.m.
Injury occurred at work: Not while at work
How did injury occur: From gun shot wounds
I hereby certify that I attended deceased from Did not see
patient to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 26 March 1951
Address: Salyersville, Ky.
Signature: B. R. Conley, M.D.
Burial, Cremation or Removal: Burial
Date: 18 March 1951
Name of Cemetery or Crematory: Gun Lock, Ky.
Location: Gun Lock, Ky.
Date received by local registrar: 26 March 1951
Registrar's Signature: Ina Salyer
Funeral director & address: F. V. Kelley,
Salyersville, Ky.
Transcribed by Debbie Tamborski, 30 July 2010 |
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