Date: 09 April 1945
Cert: 10664
Place of Death: County: Knott City or
Town: Litt Carr, Ky.
Street Number or Location: Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Litt Carr Rural
Full Name: Roy Rogers RILEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 28 March 1945
Age: 13 days
Birthplace: Litt Carr, Ky.
Occupation: None
Industry or business: (blank)
Father Name: Robert RILEY
Father Birthplace: Litt Carr, Ky.
Mother Maiden Name: Maggie REYNOLDS
Mother Birthplace: Knott Co., Ky.
Informant: Robert RILEY, Litt Carr, Ky.
Burial Place: Litt Carr, Ky.
Date: 10 April 1945
Signature of funeral director: none
Date received by local registrar: 05 May 1945
Registrar's Signature: Rose B. Craft
Date of Death: 09 April 1945
I hereby certify that I attended deceased from 1945 to
28 March 1945, that I last saw him alive on 28 March 1945, and that death
occurred on the date stated above at (blank)
Immediate cause of death: Imperforate (illegible ?arues?)
Duration: (blank)
Due to: Intestinal obstruction
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: A. R. Hodge, M.D., Lackey, Ky.
Date signed: 05 May 1945
Transcribed by Debbie Tamborski, 29 November 2010 |