|
DEATH
CERTIFICATE
FRANK VANCE
Date: 31 July 1953
Cert: 19466
Place of Death: County: Perry City or Town:
Blue Diamond
Length of stay (in this place): 20 years
Street address or location: Home
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Blue Diamond Street Address: (blank)
Full Name: Frank VANCE
Date of Death: 31 July 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 02 August 1897
Age: 55 years
Usual Occupation: Superintendent
Kind of Industry or business: Mines
Birthplace: Knott Co.
Father's Name: Marion VANCE
Mother's Maiden Name: America KING
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Ada VANCE, wife
Disease/condition directly leading to death: Coronary
Thrombosis
Interval between onset and death: 03 years
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 01 March 1950 to
31 July 1953, that I last saw the deceased alive on 31 July
1953, and
that death occurred at 11:50 a.m., from the causes and on the
date stated above.
Date signed: 31 July 1953
Address: Blue Diamond
Signature: L. H. Wagers, M.D.
Burial, Cremation or Removal: Burial
Date: 03 August 1953
Name of Cemetery or Crematory: Riverside Cemetery
Location: Hazard, Ky.
Date received by local registrar: 07 August 1953
Registrar's Signature: Georgia P. Surer
Funeral director & address: Maggard & Garrett
Transcribed by Debbie Tamborski, 13 August 2010 |
|