DEATH
CERTIFICATE
LOYALL RICE
Date 14 August 1942
Cert: 25298
Place of Death: County: Perry City or Town:
Hazard, Ky.
Hospital or Institution: Hurst-Snyder
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Rural If Rural
give Precinct: Glowmar, Ky.
Full Name: Loyall RICE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White
Husband or Wife of:
Age of husband or wife if alive:
Birth date of deceased: October 1940
Age: 01 years, 10 months
Birthplace: Knott Co.
Occupation: (blank)
Industry or business: (blank)
Father Name: Farmer RICE
Father Birthplace: Perry Co.
Mother Maiden Name: Eraleen
Mother Birthplace: Morgan Co.
Informant: Walter RICE, Glowmar, Ky.
Burial Place: Cornett Hill
Date: 15 August 1942
Signature of funeral director: Maggard & Garrett, Hazard, Ky.
Date received by local registrar: 01 November 1942
Registrar's Signature: Anna L. Boulos
Date of Death: 14 August 1942
I hereby certify that I attended deceased from 12 August 1942 to
14 August 1942, that I last saw h-- alive on 14 August 1942, and that death
occurred on the date stated above at (blank)
Immediate cause of death: Acidosis
Duration: 01 day
Due to: Infectious enteritis Duration:
10 days
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: Chas D. Snyder, M.D., Hazard,
Ky.
Date signed: 07 October 1942
Transcribed by Debbie Tamborski, 27 May 2010 |
|