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DEATH
CERTIFICATE
CARTER RICHIE
Date: 12 December 1947
Cert: 28904
Place of Death: County: Perry City or Town:
Fisty
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Perry
City or Town: Fisty
Full Name: Carter RICHIE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Ella RICHIE
Age of husband or wife if alive: 34 years
Birth date of deceased: 02 November 1907
Age: 40 years, 01 months, 10 days
Birthplace: Knott
Occupation: Farmer
Industry or business: (blank)
Father Name: Benjham RICHIE
Father Birthplace: Perry
Mother Maiden Name: Sara CORNETT
Mother Birthplace: Knott
Informant: Ella RICHIE, Fisty, Ky.
Burial Place: Engle Cem.
Date: 14 December 1947
Signature of funeral director: Engle's Hazard, Ky.
Date received by local registrar: 06 February 1948
Registrar's Signature: Cleata D. Cox
Date of Death: 12 December 1947
I hereby certify that I attended deceased from April 1946 to
02 December 1947, that I last saw him alive on 02 December
1947, and that death occurred on the date stated above at 10
p.m.
Immediate cause of death: Tuberculosis of left hip &
(illegible)
Duration: (blank)
Due to: (blank)
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: S. M. Richie, M.D., Hazard, Ky.
Date signed: 22 December 1947
Transcribed by Debbie Tamborski, 25 June 2010 |
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