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DEATH
CERTIFICATE
SILAS RICHIE
Date 28 February 1940
Cert: 22454
Place of Death: County: Perry City or Town:
Rural
Name of Hospital or Institution: Tribby
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Rural Street No.:
#19
Full Name: Silas RICHIE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Amandia RICHIE
Age of husband or wife if alive: ? [sic]
Birth date of deceased: 17 March 1855
Age: 84 years, 11 months, 11 days
Birthplace: Knott Co., Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: Martin RICHIE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: ? [sic]
Mother Birthplace: ? [sic]
Informant: J. D. PATRICK, Tribby, Ky.
Burial Place: Burial - Talcum, Ky.
Date: 29 February 1940
Signature of funeral director: Engle Und. & Hdwe., Hazard, Ky.
Date received by local registrar: 03 October 1940
Registrar's Signature: Kathryn S. Johnson
Date of Death: 28 February 1940
I hereby certify that I attended deceased from 1938 to
29 January 1940, that I last saw him alive on 29 January 1940, and that death
occurred on the date stated above at (blank)
Immediate cause of death: (Parmchym?? illegible)
Nephritis (chronic)
Duration: 05 years
Due to: not known
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: J. P. Boggs, Hazard, Ky.
Date signed: 19 September 1940
Transcribed by Debbie Tamborski, 10 May 2010 |
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