DEATH CERTIFICATE

ROY ALLEN RICHARDSON

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