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DEATH
CERTIFICATE
CECIL SEXTON
Date 17 January 1938
Cert: 12820
Place of Death: Voting Pct.: Bulan, Perry Co., Ky.
Full Name: Cecil SEXTON
Residence: Bulan, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: (blank)
Date of Birth: 25 February 1915
Age: 22 years, 10 months, 22 days
Occupation: Miner
Birthplace: Knott Co., Ky.
Father Name: Floyd SEXTON
Birthplace Father: Knott Co.
Mother Maiden Name: Rosa AMBURGY
Birthplace Mother: Knott Co.
Informant/Address: Mrs. Cecil SEXTON, Bulan, Ky.
Burial Cremation Removal Place: Bastin, Ky.
Date: 19 January 1938
Undertaker/Address: G. W. Nicholson, Hazard, Ky.
Filed: 15 May 1938
Registrar: Wm. G. Cornett
Death of Date: 17 January 1938
I hereby certify, That I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), death is said
to have occurred on the date stated above, at 10 a.m.
Cause of Death: Slate fall instant death
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: (blank)
Transcribed by Debbie Tamborski, 30 April 2010 |
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