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DEATH
CERTIFICATE
BEN RICHIE
Date 24 June 1921
Cert: 20420
Place of Death: Voting Precinct: Perry Co., Ky.
Full Name: Ben RICHIE
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 15 March 1891
Age: 30 years, 03 months, 09 days
Occupation: Mines, Coal Mining
Birthplace: Knott Co., Ky.
Name of Father: Tom RICHIE
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Susanna BAILEY
Birthplace Mother: Knott Co., Ky.
Informant/Address: Russia RICHIE, Lothair, Ky.
Filed: 1924
Registrar: Bryant Grigsby
Death Date: 24 June 1921
I hereby certify that I attended deceased from Post Mortem, to
(blank), that I last saw h-- alive on (blank), and that death
occurred, on the date stated above, at (blank)
Cause of Death: Struck & run over by mine motor car
accident
Duration: (blank)
Contributory: (blank)
Signed/Address: H. W. Gingles, M.D., 27
June 1921, Hardburly, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: (blank)
Date of Burial: (blank)
Undertaker/Address: (blank)
Transcribed by Debbie Tamborski, 07 March 2010 |
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