DEATH CERTIFICATE

BALIS RITCHIE

Date:  14 June 1953
Cert:  17005 
Place of Death: County: Knott    City or Town: Carrie, Ky. Rural
Length of stay (in this place): (blank)
Street address or location:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Carrie  Rural    If rural give location: (blank)
Full Name:  Balis RITCHIE 
Date of Death:  14 June 1953 
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  22 July 1904 
Age:  48 years, 11 months
Usual Occupation:  Miner
Kind of Industry or business: Coal Mines
Birthplace:   Perry Co., Ky. 
Father's Name:  William RITCHIE 
Mother's Maiden Name:  Rausia ASHLEY 
Was deceased ever in armed forces: (blank)
Social Security No.:  407-16-1933
Informant:  Mallie RITCHIE
Disease or condition directly leading to death: Self Inflicted Shot Gun Decapitating Skull
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  16 June 1953
Address:  Hindman, Ky.
Signature:  Jno. N. Taul, Coroner
Burial, Cremation or Removal: Burial
Date:  (16 June 1953 marked thru)
Name of Cemetery or Crematory: (blank)
Location:  (blank)
Date received by local registrar: 04 August 1953
Registrar's Signature: Rose B. Craft
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 10 February 2011