Date: 22 January 1949
Cert: 03263
Place of Death: County: Knott
City or Town: Vest, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Vest Rural Street Address:
(blank)
Full Name: Garel Dean SHEPHERD
Date of Death: 22 January 1949
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth: 29 January 1948
Age: 11 months, 24 days
Usual Occupation: None - Infant
Kind of Industry or business: None - Infant
Birthplace: Vest, Knott Co., Ky.
Father's Name: Wilson SHEPHERD
Mother's Maiden Name: Irene SHEPHERD
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Irene SHEPHERD
Disease or condition directly leading to death: The
information we got on this death is to the effect that the
child was taken very ill about dark - high temperature & died
at 11:30 p.m. There was not time to get a doctor -
family lives in remote section of county.
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
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 11:30 p.m., from the causes and on the
date stated above.
Date signed: 26 February 1949
Address: Hindman, Ky.
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date: 23 January 1949
Name of Cemetery or Crematory: Shepherd Cem.
Location: Vest, Ky.
Date received by local registrar: 28 February 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Friends, Vest, Ky.
Transcribed by Debbie Tamborski, 08 January 2011 |