Date: 01 May 1941
Cert: 22647
Place of Death: County: Knott City or
Town: Rural
Street No. or Location: Anco, Ky.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural
Full Name: Dreall SINGLETON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 13 March 1926
Age: 15 years
Birthplace: Knott Co., Ky.
Occupation: Student
Industry or business: (blank)
Father Name: Clay SINGLETON
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Mary RICHIE
Mother Birthplace: Knott Co., Ky.
Informant: Clay SINGLETON, Anco, Ky.
Burial Place: Anco, Ky.
Date: May
Signature of funeral director: Engle Und. & Hdwe., Hazard, Ky.
Date received by local registrar: 17 September 1941
Registrar's Signature: Phena Slone
Date of Death: 01 May 1941
I hereby certify that I attended deceased from 01 May 1941 to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 2 p.m.
Immediate cause of death: Electrocution body charred by
(illegible) fire also contact with high tension wire which was
grounded on wire fence
Duration: Sudden
Due to: (blank)
Other conditions: none
Accident, suicide, or homicide: accident
Date of occurrence: 01 May 1941
Where did injury occur: Knott Coal Corp. lease
While at work: no
Means of injury: see above
Signature & Address: Guy C. Pinckley, M.D., Anco,
Ky.
Date signed: 05 June 1941
Transcribed by Debbie Tamborski, 15 October 2010 |