Date: 12 April 1956
Cert: #56-7909
Place of Death: County: Knott City or Town:
Rural
Length of stay (in this place): (blank)
Street Address or Location: Mousie, Ky.
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Rural Street
Address: Mousie, Ky.
Full Name: Donald Lee RITCHIE
Date of Death: 12 April 1956
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 23 October 1940
Age: 15 years
Usual Occupation: Student
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Adam RITCHIE
Mother's Maiden Name: Chloey COMBS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Chloey RITCHIE
Disease or condition directly leading to death: Hodgkin's
Disease
Interval between onset and death: 03 months
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 22 March 1948 to
07 April 1956, that I last saw the deceased alive on 07 April
1956, and
that death occurred at 10:00 a.m., from the causes and on the
date stated above.
Date signed: 20 April 1956
Address: Hindman, Ky.
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 15 April 1956
Name of Cemetery or Crematory: Combs Cemetery
Location: Mousie, Ky.
Date received by local registrar: 18 April 1956
Registrar's Signature: Myrtle Slone
Funeral director & address: Eastin Richey, Mt.
Sterling, Ky.
Transcribed by Debbie Tamborski, 25 March 2012 |