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DEATH
CERTIFICATE
CARL WATTS
Date 18 January 1950
Cert: 02111
Place of Death: County: Fayette City or Town:
Lexington, Ky.
Length of stay in hospital or community: 04 yrs, 03 mos, 17
days
Name of Hospital or Institution: Eastern State
Hospital
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Hindman
Full Name: Carl WATTS
Date of Death: 18 January 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 12 June 1910
Age: 39 years
Usual Occupation: Miner
Kind of Industry or business: (blank)
Birthplace: Pine Top, Kentucky
Father's Name: Clifton WATTS
Mother's Maiden Name: Carrie FRANKLIN
Was deceased in ever in armed forces: No
Social Security No.: (blank)
Informant: Hospital Records
Disease/condition directly leading to death:
Pulmonary Tuberculosis
Interval between onset and death: 14 months
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
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 October 1945 to
18 January 1950, that I
last saw the deceased alive on 18 January 1950, and that death occurred on
the date stated above at 3:15 p.m., from the causes and on the date
stated above.
Date signed: 18 January 1950
Address: Eastern State Hospital
Signature: A. R. (illegible), M.D.
Burial, Cremation or Removal: Removal
Date: 18 January 1950
Name of Cemetery or Creamatory: Hazard, Ky.
Location: E. S. Hosp., Lex., Ky.
Date received by local registrar: 06 February 1950
Registrar's Signature: D. A. Furlong
Funeral director and address: Maggard & Garrett, Hazard,
Ky.
Transcribed by Debbie Tamborski, 17 February 2010 |
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