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DEATH
CERTIFICATE
CLAUDE KELLY RITCHIE
Date 23 November 1941
Cert: 29987
Place of Death: County: Perry City or Town:
Hazard
Name of Hospital or Institution: Hazard Hospital Co.
Length of stay in hospital or community: 8 hrs.
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Cordia
Full Name: Claude Kelly RITCHIE
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: (blank)
Age: 21 days
Birthplace: Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Kelly RITCHIE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Milly RICHIE
Mother Birthplace: Knott Co., Ky.
Informant: (blank)
Burial Place: Fisty
Date: 24 November 1941
Signature of funeral director: none
Date received by local registrar: 10 December 1941
Registrar's Signature: Anna Laura (illegible)
Date of Death: 23 November 1941
I hereby certify that I attended deceased from 23 November
1941 to 23 November 1941, that I
last saw him alive on (blank), and that death occurred on the date
stated above at 4:30 p.m.
Due to: Jaundice of newborn
Other conditions: Secondary anemia
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: Chris S. Jackson, M.D., Hazard, Ky.
Date signed: 10 December 1941
Transcribed by Debbie Tamborski, 01 February 2010 |
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