Date: 08 June 1949
Cert: 16788
Place of Death: County: Knott
City or Town: Langley
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Memorial Hosp.
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Hueysville Street Address:
(blank)
Full Name: Hattie SHACKLEFORD
Date of Death: 08 June 1949
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 15 September 1923
Age: 25 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Perry Co., Ky.
Father's Name: Cash NAPIER
Mother's Maiden Name: Sally FUGATE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Earl SHACKLEFORD
Disease or condition directly leading to death:
Severance of cervical spinal cord
Interval between onset and death: (blank)
Due to: automobile accident
Interval between onset and death: Died immediately
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: Accident
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: 08 June 1949
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 08 June 1949 to
08 June 1949, 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: 18 August 1949
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 10 June 1949
Name of Cemetery or Crematory: (?Miners? illegible) Cem.
Location: Eastern, Ky.
Date received by local registrar: 18 August 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: G. D. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 08 January 2011 |