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DEATH
CERTIFICATE
RAYMOND SHORT
Date: 09 February 1950
Cert: 03274
Place of Death: County: Letcher City or Town:
Deane
Length of stay (in this place): (blank)
Name of Hospital or Institution: at home
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: Deane Street
Address: Rockhouse Creek
Full Name: Raymond SHORT
Date of Death: 09 February 1950
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 20 May 1926
Age: 23 years, 08 months, 19 days
Usual Occupation: not employed
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Spencer SHORT
Mother's Maiden Name: Hettie Anne SLONE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mother-Mrs. Hettie Anne SHORT
Disease or condition directly leading to death: Pulmonary
Tuberculosis
Interval between onset and death: 18 months
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
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 time to
time, that I last saw the deceased alive on (blank), and
that death occurred at 10:00 p.m., from the causes and on the
date stated above.
Date signed: 10 February 1950
Address: Whitesburg, Ky.
Signature: R. D. Collins, M.D.
Burial, Cremation or Removal: Burial
Date: 12 February 1950
Name of Cemetery or Crematory: Slone Fork Cem.
Location: Knott County, Ky.
Date received by local registrar: 11 February 1950
Registrar's Signature: E. M. Collins
Funeral director & address: Craft Funeral Home,
Neon, Ky.
Transcribed by Debbie Tamborski, 15 July 2010 |
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