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DEATH
CERTIFICATE
NATHAN TAYLOR
Date 29 December 1933
Cert: 03312
Place of Death: Voting Pct.: Beaver Valley Hospital,
Martin, Floyd Co., Ky.
Full Name: Nathan TAYLOR
Residence: Pine Top, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Date of Birth: (blank)
Age: 18 years
Occupation: Farmer
Birthplace: Knott Co.
Father Name: P. TAYLOR
Birthplace Father: Knott Co.
Mother Maiden Name: Mary GIBSON
Birthplace Mother: Knott Co.
Informant/Address: Mrs. Mary GIBSON, Pine Top, Ky.
Burial Cremation Removal Place: Pine Top, Ky.
Date: 31 December 1933
Undertaker/Address: Family, Pine Top, Ky.
Filed: 30 December 1933
Registrar: Mrs. W. L. Stumbo
Death of Date: 29 December 1933
I hereby certify, That I attended deceased from 28 December
1933 to 29 December 1933, that I last saw him alive on 29
December 1933, death is said
to have occurred on the date stated above, at 10 p.m.
Cause of Death: Gun shot wound through stomach
Date of onset: (blank)
Contributory causes: Whiskey
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: W. L. Stumbo, Martin, Ky.
Transcribed by Debbie Tamborski, 02 April 2010 |
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