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DEATH
CERTIFICATE
HENRY TUTTLE
Date 05 June 1941
Cert: 14519
Place of Death: County: Floyd City or Town:
Minnie
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky County:
Floyd
City or Town: Minnie Precinct:
John Ant 22
Full Name: Henry TUTTLE
If Veteran Name War: (blank)
Social Security No.: 400-09-1297
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: (blank)
Age of husband or wife if alive: 28 years
Birth date of deceased: 05 January 1905
Age: 36 years, 06 months
Birthplace: Knott County, Ky.
Occupation: Miner
Industry or business: (blank)
Father Name: J. L. TUTTLE
Father Birthplace: Ky.
Mother Maiden Name: Sally TUTTLE
Mother Birthplace: Ky.
Informant: L. C. TUTTLE, Minnie, Ky.
Burial Place: Minnie
Date: 06 June 1941
Signature of funeral director: E. P. Arnold, Prestonsburg, Ky.
Date received by local registrar: 12 June 1941
Registrar's Signature: Mrs. Ben Norris
Date of Death: 05 June 1941
I hereby certify that I attended deceased from April 1940 to
05 June 1941, that I last saw him alive on 01 June 1941, and that death
occurred on the date stated above at (blank)
Immediate cause of death: Pulmonary T.B.
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: A. B. Pigman, M.D., Wayland
Date signed: 09 June 1941
Transcribed by Debbie Tamborski, 21 May 2010 |
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