Date: 25 March 1949
Cert: 07771
Place of Death: County: Knott
City or Town: Spider, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Spider, Ky. Rural Street Address:
(blank)
Full Name: Roy Allen RICHARDSON
Date of Death: 25 March 1949
Sex, Color or Race, Marital Status: Male, White, Child
Date of Birth: 06 October 1940
Age: 08 years
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Knott Co., Ky.
Father's Name: Willard RICHARDSON
Mother's Maiden Name: Thelma SMITH
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Willard RICHARDSON
Disease/condition directly leading to death: (Glioma) Brain
tumor
Interval between onset and death: (blank)
Due to: Malignant
Other significant conditions: (blank)
Date of Operation: 13 June 1945
Major findings of operation: Tumor left (illegible)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 21 May 1945 to
March 1949, 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: 29 March 1949
Address: Louisville, Ky.
Signature: Franklin Jelawa, M.D.
Burial, Cremation or Removal: Burial
Date: 26 March 1949
Name of Cemetery/Crematory: Family Cemetery, Spider, Ky.
Location: Spider, Ky., Knott Co.
Date received by local registrar: 02 April 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Joe Greer, Hazard, Ky.
Transcribed by Debbie Tamborski, 08 January 2011 |