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DEATH
CERTIFICATE
ELIGA ROLAND SIZEMORE
Date 03 December 1945
Cert: 27168
Place of Death: County: Perry City or
Town: Hazard
Name of Hospital or Institution: Hurst Snyder
Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman
Full Name: Eliga Roland SIZEMORE
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: 29 March 1935
Age: 10 years, 08 months, 09 days
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Hairm SIZEMORE
Father Birthplace: Breathitt Co., Ky.
Mother Maiden Name: Claudia MULLENS
Mother Birthplace: Knott Co., Ky.
Informant: Claudia Mullens, Hindman, Ky.
Burial Place: Hindman, Ky.
Date: 04 December 1945
Signature of funeral director: Maggard, Hazard, Ky.
Date received by local registrar: 03 December 1945
Registrar's Signature: Opsie J. Deaton
Date of Death: 03 December 1945
I hereby certify that I attended deceased from 01 December
1945 to
03 December 1945, that I
last saw him alive on 03 December 1945, and that death occurred on the date
stated above at 5 a.m.
Immediate cause of death: Pulmonary embolus
Due to: Ruptured gangrenous appendix
Major findings of operations: Ruptured gangrenous appendix
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: Chas. D. Snyder, Hazard
Date signed: 03 December 1945
Transcribed by Debbie Tamborski, 09 February 2010 |
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