Date: 14 March 1944
Cert: 12237
Place of Death: County: Knott City or
Town: Rural
Street Number or Location: Ritchie
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural
If rural give precinct: Ritchie
Full Name: Samuell SINGLETON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 1868
Age: 76 years
Birthplace: Knott Co., Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: Andrew SINGLETON
Father Birthplace: Ky.
Mother Maiden Name: Elizabeth HALL
Mother Birthplace: Ky.
Informant: Willie SINGLETON, Ritchie
Burial Place: Ritchie, Ky.
Date: 18 March 1944
Signature of funeral director: Engles, Hazard, Ky.
Date received by local registrar: 28 May 1944
Registrar's Signature: Ida Livingston
Date of Death: 14 March 1944
I hereby certify that I attended deceased from 02 March 1944 to
12 March 1944, that I last saw him alive on 12 March 1944, and
that death occurred on the date stated above at (blank)
Immediate cause of death: Cerebral Hemorrhage
Duration: (blank)
Due to: Hypertension
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: S. M. Ritchie, M.D., Hazard,
Ky.
Date signed: 23 May 1944
Transcribed by Debbie Tamborski, 22 November 2010 |