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DEATH
CERTIFICATE
I. B. RICHIE
Date 22 September 1946
Cert: 20407
Place of Death: County: Perry City or
Town: Fisty
Name of Hospital or Institution: Hazard Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Fisty
Full Name: I. B. RICHIE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Angeline RICHEY
Age of husband or wife if alive: 58 years
Birth date of deceased: 03 March 1887
Age: 59 years, 06 months, 21 days
Birthplace: Knott
Occupation: Farmer
Industry or business: (blank)
Father Name: Jaushua RICHIE
Father Birthplace: Perry
Mother Maiden Name: Nancy HALL
Mother Birthplace: Perry
Informant: Leonard RICHIE, Fisty, Ky.
Burial Place: Knott County
Date: 25 September 1946
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 01 October 1946
Registrar's Signature: Opsie J. Deaton
Date of Death: 22 September 1946
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 (blank)
Immediate cause of death: Coronary Embolus
Due to: Peritonitis
Major findings of operations: Ruptured appendix peritonitis
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: J. E. Hagan, M.D., Hazard, Ky.
Date signed: 26 September 1946
Transcribed by Debbie Tamborski, 10 February 2010 |
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