Date: 05 March 1952
Cert: 05678
Place of Death: County: Knott
City or Town: Lackey
Length of stay (in this place): 2 1/2 hours
Name of Hospital or Institution: Stumbo Memorial
Hospital
Usual Residence of Deceased: State: Kentucky
County: Floyd
City or Town: Glo, Ky. Street Address:
(blank)
Full Name: Russel SMITH
Date of Death: 05 March 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: (illegible) 1896
Age: 56 years
Usual Occupation: Coal Miner
Kind of Industry or business: (blank)
Birthplace: Morgan County
Father's Name: Richard SMITH
Mother's Maiden Name: (blank)
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: H. J. SHERMAN
Disease or condition directly leading to death:
Hemorrhage
Interval between onset and death: (blank)
Due to: Injury in mines
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: Mine Accident
Place of injury: Glo, Ky.
City or Town, County, State: Glo, Ky., Floyd, in mine
Time of Injury: 04 March 1952
Injury occurred at work: While at work
How did injury occur: (machine was in transit) Coal cutting
machine mangled Rt. leg
I hereby certify that I attended deceased from 04 March 1952 to
05 March 1952, that I last saw the deceased alive on 05 March
1952, and
that death occurred at 1:30 a.m., from the causes and on the
date stated above.
Date signed: 25 March 1952
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 09 March 1952
Name of Cemetery or Crematory: Umwa Cemetery
Location: Eastern, Ky.
Date received by local registrar: 28 March 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: Cook & Hopkins, Estill,
Ky.
Transcribed by Debbie Tamborski, 28 January 2011 |