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DEATH
CERTIFICATE
HARGIS VANCE
Date: 10 August 1948
Cert: 19106
Place of Death: County: Letcher City or Town: Thornton,
Ky.
Hospital or Institution: (blank)
Length of stay in hospital or community: 05 years
Usual Residence of Deceased: State: Ky.
County: Knot Co.
City or Town: May, Ky.
Full Name: Hargis VANCE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Tiney GIBSON
Age of husband or wife if alive: 36 years
Birth date of deceased: unknown
Age: 36 years
Birthplace: Knott County, Ky.
Occupation: Factory
Industry or business: (blank)
Father Name: Fly VANCE
Father Birthplace: Ky.
Mother Maiden Name: Eliza COLLINS
Mother Birthplace: Ky.
Informant: Mrs. Eliza VANCE, May, Ky.
Burial Place: Greezy, Ky.
Date: 11 August 1948
Signature of funeral director: Archie Craft, Whitesburg,
Ky.
Date received by local registrar: 11
September 1948
Registrar's Signature: E. M. Collins
Date of Death: 10 August 1948
I hereby certify that I attended deceased from 10 August 1948 to
10 August 1948, that I last saw him alive on 10 August 1948,
and that death occurred on the date stated above at 2:30 a.m.
Immediate cause of death: Pulmonary
Tuberculosis
Duration: 03 years
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: Carl Pigman, M.D., Whitesburg, Ky.
Date signed: 31 August 1948
Transcribed by Debbie Tamborski, 02 July 2010 |
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