Date: 26 June 1951
Cert: Duplicate 18680
Place of Death: County: Knott
City or Town: Anco, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Anco Rural Street Address:
(blank)
Full Name: Robert SMITH
Date of Death: 26 June 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 27 August 1919
Age: 32 years
Usual Occupation: Miner
Kind of Industry or business: Blue Bird Mining Co.
Birthplace: Knott Co., Ky.
Father's Name: Phyllis SMITH
Mother's Maiden Name: Silvia MCKEE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Carl DEATON
Disease or condition directly leading to death: Crushed
body - neck down
Interval between onset and death: (blank)
Due to: Slate fall in Coal Mine
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: Accident
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: 26 June 1951, 5:30 p.m.
Injury occurred at work: While at work
How did injury occur: Slate fall in mine
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 30 June 1951
Address: Hazard, Ky.
Signature: Riley Townsend, Acting Coroner, Perry Co.,
Ky.
Burial, Cremation or Removal: Burial
Date: 28 June 1951
Name of Cemetery or Crematory: Kelly Cemetery
Location: Knott, Ky.
Date received by local registrar: 07 September 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: Johnson Funeral Home, Hazard,
Ky.
Transcribed by Debbie Tamborski, 21 January 2011 |