Date: 23 December 1941
Cert: 01758
Place of Death: County: Knott City or
Town: Rural
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: Rural If rural, give
precinct: (Cody)
Full Name: George Bruce TAYLOR
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: ? (transcribed as written)
Age: 74 years
Birthplace: Glennsfork, Ky.
Occupation: Timber Business
Industry or business: (blank)
Father Name: George TAYLOR
Father Birthplace: unknown
Mother Maiden Name: Mary Lou TAYLOR
Mother Birthplace: Adair County
Informant: George TAYLOR, Glennsfork, Ky.
Burial Place: Adair County
Date: 24 December 1941
Signature of funeral director: Engle Und. & Hdwe., Co., Main
St., Hazard, Ky.
Date received by local registrar: 12 January 1942
Registrar's Signature: (illegible)
Date of Death: 23 December 1941
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Organic Heart Disease
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: T. R. Collins, M.D., Whitesburg,
Ky.
Date signed: 10 January 1942
Transcribed by Debbie Tamborski, 15 October 2010 |