Date: 07 March 1954
Cert: #05344
Place of Death: County: Knott City or Town:
Emmalena
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Emmalena Street Address: (blank)
Full Name: Ellis RICHIE
Date of Death: 07 March 1954
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 24 January 1895
Age: 59 years
Usual Occupation: Farmer
Kind of Industry or business: (blank)
Birthplace: Knott Co.
Father's Name: Canada RICHIE
Mother's Maiden Name: Mary Ann SHEPHERD
Was deceased ever in armed forces: Yes, World War I
Social Security No.: 402-12-6016
Informant: Golden RITCHIE
Disease or condition directly leading to death:
(illegible)
Interval between onset and death: (blank)
Due to: Coronary Occlusion
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on 07 March 1954, and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 10 March 1954
Address: Hindman, Ky.
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date: 10 March 1954
Name of Cemetery or Crematory: Family Cemetery
Location: Vest, Knott Co., Ky.
Date received by local registrar: 17 March 1954
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 17 March 2011 |