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DEATH
CERTIFICATE
CURMAN RICHIE
Date 14 March 1949
Cert: 14960
Place of Death: County: Perry City or Town:
Dwarf
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Dwarf
Full Name: Curman RICHIE
Date of Death: 14 March 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 27 July 1922
Age: 22 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Knott
Father's Name: Ben RICHIE
Mother's Maiden Name: Arminda FRANCIS
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Harm RICHIE
Disease or condition directly leading to death: Gun shot
wound in stomach
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: accident (suicide lined
through)
Place of injury: Home
City or Town, County, State: Dwarf, Perry, Ky.
Time of Injury: 13 March 1949 8:30 p.m.
Injury occurred at work: Not while at work
How did injury occur: Gun went off while looking at it
I hereby certify that I attended deceased from (blank) to
(blank), that I
last saw the deceased alive on 14 March 1949, and that death occurred on
the date stated above at 1:30 a.m., from the causes and on the date
stated above.
Date signed: (blank)
Address: Hazard, Ky.
Signature: Ed M. (illegible)
Burial, Cremation or Removal: Burial
Date: 17 March 1949
Name of Cemetery or Creamatory: Richie
Location: Knott, Ky.
Date received by local registrar: 30 June 1949
Registrar's Signature: Helen C. Burriss
Funeral director and address: Engle's, Hazard, Ky.
Transcribed by Debbie Tamborski, 16 February 2010 |
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