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DEATH
CERTIFICATE
SAMUEL SEALS
Date 24 June 1948
Cert: 15348
Place of Death: County: Perry City or
Town: Hazard
Name of Hospital or Institution: Hurst-Snyder Hospital
Length of stay in hospital or community:
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Littcarr (rural)
Full Name: Samuel SEALS
If Veteran Name War: No
Social Security No.: None
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: 16 May 1947
Age: 01 years, 01 months, 08 days
Birthplace: Littcarr, Ky.
Occupation: Child
Industry or business: "
Father Name: Nelson SEALS
Father Birthplace: Nealy, Ky.
Mother Maiden Name: Lula STRONG
Mother Birthplace: Buckhorn, Ky.
Informant: Nelson SEALS, Littcarr, Ky.
Burial Place: Littcarr, Ky.
Date: 26 June 1948
Signature funeral director: Johnson Funeral Home, Hazard, Ky.
Date received by local registrar: 29 June 1948
Registrar's Signature: Helen Burriss
Date of Death: 24 June 1948
I hereby certify that I attended deceased from (blank) to
24 June 1948, that I
last saw him alive on 24 June 1948, and that death occurred on the date
stated above at 9:00 a.m.
Immediate cause of death: Meningitis
Due to: Following whooping cough
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: C. R. Faulkner, Hazard, Ky.
Date signed: 25 June 1948
Transcribed by Debbie Tamborski, 15 February 2010 |
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