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DEATH
CERTIFICATE
KELCE SHEPHERD
Date 05 January 1950
Cert: 00382
Place of Death: County: Fayette City or Town:
Lexington
Length of stay in hospital or community:
Name of Hospital or Institution: St. Joseph Hospital
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Ritchie
Full Name: Kelce SHEPHERD
Date of Death: 05 January 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 27 August 1908
Age: 41 years
Usual Occupation: Miner
Kind of Industry or business: Mines
Birthplace: Magoffin County, Ky.
Father's Name: Joe SHEPHERD
Mother's Maiden Name: Susie COMBS
Was deceased in ever in armed forces: No
Social Security No.: None
Informant: Wm. SHEPHERD
Disease or condition directly leading to death:
glioblastoma, cerebral, (illegible)
Interval between onset and death: 6 - 9 mos.
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: 16 December 1949
Major findings for operation: as above
Autopsy: Yes
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 11 December
1949 to 05 January 1950, that I
last saw the deceased alive on 05 January 1950, and that death occurred on
the date stated above at 8:35 a.m., from the causes and on the date
stated above.
Date signed: 11 January 1950
Address: 109 (illegible), Lex., Ky.
Signature: Ralph J. (illegible), M.D.
Burial, Cremation or Removal: Removal
Date: 05 January 1950
Name of Cemetery or Creamatory: Ritchie Cemetery
Location: Ritchie, Ky.
Date received by local registrar: 26 January 1950
Registrar's Signature: D. A. Furlong
Funeral director and address: Maggard & Garrett, Hazard,
Ky.
Transcribed by Debbie Tamborski, 17 February 2010 |
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