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DEATH
CERTIFICATE
CARTER RICHIE
Date: 15 December 1947
Cert: 28505
Place of Death: County: Knott City or Town:
Fisty, Ky. Rural
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Fisty Rural
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: Bertha Jones
Age of husband or wife if alive: 36 years
Birth date of deceased: (blank)
Age: 36 years
Birthplace: Knott Co., Ky.
Occupation: Miner
Industry or business: (blank)
Father Name: Benjamin RICHIE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Sarah CORNETT
Mother Birthplace: Knott Co., Ky.
Informant: Jessie RICHIE, Fisty, Ky.
Burial Place: Engle Cem., Dwarf, Ky.
Date: 16 December 1947
Signature of funeral director: Friends
Date received by local registrar: 14 January 1948
Registrar's Signature: Rose B. Craft
Date of Death: 15 December 1947
I hereby certify that I attended deceased from 12 December
1947 to 15 December 1947, that I last saw him alive on 15
December 1947, and that death occurred on the date stated
above at 8 p.m.
Immediate cause of death: Tuberculosis of the lungs
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: M. F. Kelley, Hindman, Ky.
Date signed: 14 January 1948
Transcribed by Debbie Tamborski, 25 June 2010 |
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