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DEATH
CERTIFICATE
SYLVESTER ROBINSON
Date 03 February 1947
Cert: 05512
Place of Death: County: Floyd City or
Town: Wayland
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Mousie
Full Name: Sylvester ROBINSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Lonie ROBINSON
Age of husband or wife if alive: 48 years
Birth date of deceased: December
Age: 49 years
Birthplace: Knott County
Occupation: Miner
Industry or business: (blank)
Father Name: John ROBINSON
Father Birthplace: Knott County
Mother Maiden Name: Lou Elsie JONES
Mother Birthplace: Knott County
Informant: Ray ROBINSON, Mousie
Burial Place: Mousie
Date: 05 February 1947
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 19 March 1947
Registrar's Signature: Lucy Ramsdell
Date of Death: 03 February 1947
I hereby certify that I attended deceased from (blank) to
(blank), that I
last saw him alive on 03 February 1947, and that death occurred on the date
stated above at 8:30 a.m.
Immediate cause of death: Internal Hemorrhage
Due to: Crushed Chest
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 03 February 1947
Where did injury occur: In Coal Mine
While at work: Yes
Means of injury: Slate fall
Signature: W. J. Ryan, Embalmer, Martin, Ky.
Date signed: 04 February 1947
Transcribed by Debbie Tamborski, 12 February 2010 |
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