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DEATH
CERTIFICATE
RUBEN SHORT
Date 02 March 1952
Cert: 04758
Place of Death: County: Franklin City or Town:
Frankfort
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: In ambulance parked in front
of (illegible) garage
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Ivis Street Address:
Post Office
Full Name: Ruben SHORT
Date of Death: 02 March 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 09 April 1889
Age: 63 years
Usual Occupation: Farmer
Kind of Industry or business: Farm
Birthplace: Knott Co.
Father's Name: Wilson SHORT
Mother's Maiden Name: Nannie SLOANE
Was deceased ever in armed forces: no
Social Security No.: none
Informant: Mrs. Ritter SHORT
Disease/condition directly leading to death: Cerebral
hemorrhage
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (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 02 March 1952 to
02 March 1952, that I
last saw the deceased alive on (blank) 1952, and that death occurred on
the date stated above at 6:30 p.m., from the causes and on the date
stated above.
Date signed: 04 March 1952
Address: Frankfort, Ky.
Signature: Leon N. Harrod, Coroner Fr. Co., Ky.
Burial, Cremation or Removal: Burial
Date: 04 March 1952
Name of Cemetery or Creamatory: Garner Cemetery
Location: Hindman, Knott, Ky.
Date received by local registrar: 04 March 1952
Registrar's Signature: Agnes B. Campbell
Funeral director and address: Harrod Bros., Frankfort,
Ky.
Transcribed by Debbie Tamborski, 20 February 2010 |
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