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DEATH
CERTIFICATE
CEBRON RICHIE
Date: 19 September 1944
Cert: 23416
Place of Death: County: Perry City or Town:
Hazard, Ky.
Hospital or Institution: Hurst Snyder
Length of stay in hospital or community: 02 days
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Hazard, Ky.
Full Name: Ceberan RICHIE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, (blank)
Husband or Wife of: Leverna RICHIE
Age of husband or wife if alive: 22 years
Birth date of deceased: 07 March 1921
Age: 23 years, 06 months, 12 days
Birthplace: Knott Co., Ky.
Occupation: City Employee
Industry or business: (blank)
Father Name: Bud RICHIE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Lona COMBS
Mother Birthplace: Breathitt Co., Ky.
Informant: Bud RICHIE, Talcum, Ky.
Burial Place: Richie Cem.
Date: September 1944
Signature of funeral director: Maggards, Hazard, Ky.
Date received by local registrar: 23 September 1944
Registrar's Signature: Anna L. Boulos
Date of Death: 19 September 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 11:55 p.m.
Immediate cause of death: 1 (illegible) left chest with
punctured liver, 2 (illegible), 3 multiple contusions head &
body
Duration: (blank)
Due to: (blank)
Major findings of operations: none Of
autopsy: none
Accident, suicide, or homicide: Accident
Date of occurrence: 17 September 1944
Where did injury occur: Public Highway
While at work: No
Means of injury: Car wreck
Signature & Address: D. L. Peterson, Hazard, Ky.
Date signed: 20 September 1944
Transcribed by Debbie Tamborski, 04 June 2010 |
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