DEATH CERTIFICATE

ROBERT SMITH

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