Date: 28 October 1955
Cert: #23135
Place of Death: County: Knott City or Town:
Cordia - Rural
Length of stay (in this place): 10 years
Street Address or Location: Elk Fork Road
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Cordia - Rural Street Address: (blank)
Full Name: Harrison RUSSELL
Date of Death: 28 October 1955
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 14 May 1922
Age: 33 years
Usual Occupation: Miner
Kind of Industry or business: Coal
Birthplace: Ky.
Father's Name: Cornelius RUSSELL
Mother's Maiden Name: Maggie CLEMONS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Wayne STACY
Disease or condition directly leading to death:
Fractures of skull
Interval between onset and death: (blank)
Due to: Gun Shot
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: Homicide
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: 28 October 1955
Address: Hindman, Ky.
Signature: John Everage, Coroner, Knott Co.
Burial, Cremation or Removal: Burial
Date: 01 November 1955
Name of Cemetery or Crematory: Russell Cemetery
Location: Breathitt Co., Ky.
Date received by local registrar: 02 November 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: Engle Funeral Home,
Hazard, Ky., Wm. Engle, Jr.
Transcribed by Debbie Tamborski, 10 June 2011 |