Date: 22 December 1951
Cert: 27024
Place of Death: County: Knott
City or Town: Lackey, Ky.
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Memorial
Hospital
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: (blank) Street
Address: Lackey, Ky.
Full Name: Jimmie RATLIFF
Date of Death: 22 December 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 30 August 1909
Age: 41 years
Usual Occupation: Oiler
Kind of Industry/business: Worked for Ky. & W. Va. Gas Co.
Birthplace: Langley, Ky.
Father's Name: W. R. RATLIFF
Mother's Maiden Name: Lucy Lincon RATLIFF
Was deceased ever in armed forces: No
Social Security No.: 401-18-5873
Informant: Ada Mae CRISP RATLIFF (Wife)
Disease or condition directly leading to death: Skull fracture
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: Accident
Place of injury: Highway 80
City or Town, County, State: Floyd, Ky.
Time of Injury: 22 December 1951, 12 noon
Injury occurred at work: Not while at work
How did injury occur: Automobile Accident
I hereby certify that I attended deceased from (blank) 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: 27 December 1951
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 26 December 1951
Name of Cemetery or Crematory: Shepherd Cemetery
Location: Dwale, Ky.
Date received by local registrar: 19 January 1952
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address: (blank)
Transcribed by Debbie Tamborski, 21 January 2011 |