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DEATH
CERTIFICATE
TOBE BRICE SHEPHERD
Date: 18 December 1947
Cert: 26228
Place of Death: County: Floyd
City or Town: Prestonsburg
Hospital or Institution: Home
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Prestonsburg
Full Name: Tobe Brice SHEPHERD
If Veteran Name War: (blank)
Social Security No.: 402-12-6224
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Polly SHEPHERD
Age of husband or wife if alive: 56 years
Birth date of deceased: 23 December 1890
Age: 57 years,11 months, 24 days
Birthplace: Knot County, Ky.
Occupation: Miner
Industry or business: Sandy Valley Coal Co.
Father Name: Alamander SHEPHERD
Father Birthplace: Knot County, Ky.
Mother Maiden Name: Louraine HANSHOE
Mother Birthplace: Knot County, Ky.
Informant: Mrs. Marie HURD
Burial Place: Richmond Cemetery, Prestonsburg
Date: 21 December 1947
Signature funeral director: Carter & Callihan, Prestonsburg,
Ky.
Date received by local registrar: 02 January 1948
Registrar's Signature: Lucy Ransdell
Date of Death: 18 December 1947
I hereby certify that I attended deceased from 18 December
1947 to
18 December 1947, that I last saw him alive on 18 December
1947, and that death occurred on the date stated above at
12:30 a.m.
Immediate cause of death: Acute myocarditis
Duration: 10 minutes
Due to: (blank)
Major findings of operations: Bronchial asthma 08 years
Accident, suicide, or homicide: none
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: O. T. Stephens, M.D.,
Prestonsburg, Ky.
Date signed: 19 December 1947
Transcribed by Debbie Tamborski, 25 June 2010 |
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