Date: 27 August 1956
Cert: #16989
Place of Death: County: Knott
City or Town: Rural - Tina
Length of stay (in this place): (blank)
Full Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Emmalena Residence
on a Farm?: Yes
Street Address: (blank) Residence inside
City Limits?: No
Full Name: Robert ROBINSON
Date of Death: 27 August 1956
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 17 August 1910
Age: 46 years
Usual Occupation: Foundry
Kind of Industry or business: (blank)
Birthplace: Breathitt Co., Ky.
Father's Name: John ROBINSON
Mother's Maiden Name: Lucinda FUGATE
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Elhanan RITCHIE
Disease or condition directly leading to death: Heart
Failure
Interval between onset and death: Sudden
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Describe how injury occurred: Found Dead in Woods
Time of injury: (blank)
Injury occurred at work: (blank)
Place of injury: (blank)
City, Town or Location, County, State: Tina, Knott, Ky.
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: 27 August 1956
Address: Hindman
Signature: John Everage, Coroner, Knott Co.
Burial, Cremation or Removal: Burial
Date: 30 August 1956
Name of Cemetery or Crematory: Martin
Location: Carrie, Ky.
Date received by local registrar: 31 August 1956
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 25 April 2012 |