Date: 05 November 1942
Cert: 09340
Place of Death: County: Knott City or
Town: Red Fox, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Red Fox, Ky.
Full Name: Richmond SUMNER
If Veteran Name War: No
Social Security No.: Lost
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Maggie SUMNER
Age of husband or wife if alive: 43 years
Birth date of deceased: 10 June 1892
Age: 43 years, 05 months, 22 days
Birthplace: Perry County, Ky.
Occupation: Post Master
Industry or business: (blank)
Father Name: Allen SUMNER
Father Birthplace: Perry Co.
Mother Maiden Name: Josephine COMBS
Mother Birthplace: Perry Co.
Informant: (blank)
Burial Place: (blank)
Date: (blank)
Signature of funeral director: (blank)
Date received by local registrar: 10 March 1943
Registrar's Signature: Ida Livingston
Date of Death: 05 November 1942
I hereby certify that I attended deceased from 20 April 1942 to
time of death, that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Sudden Heart failure possibly
arteriosclerotic in origin
Duration: (blank)
Due to: (blank)
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: J. R. Aker, M.D., Anco, Ky.
Date signed: 08 May 1943
Transcribed by Debbie Tamborski, 18 October 2010 |