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DEATH
CERTIFICATE
CLYDE WATTS
Date 07 April 1946
Cert: 09512
Place of Death: County: Letcher City or Town: Daniel Sackett
Name of Hospital or Institution: Sackett
Length of stay in hospital or community: 02 hours
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Red Fox Street No.: Red Fox
Full Name: Clyde WATTS
If Veteran Name War: Yes
Social Security No.: 400-14-02?4
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: None
Age of husband or wife if alive: (blank)
Birth date of deceased: 02 September 1912
Age: 33 years, 07 months, 05 days
Birthplace: Knott Co.
Occupation: Farmer
Industry or business: (blank)
Father Name: Jepha WATTS (Jeptha)
Father Birthplace: Ky.
Mother Maiden Name: Susan FRAZIER
Mother Birthplace: Ky.
Informant: Jeptha WATTS, Red Fox, Ky.
Burial Place: Premium, Ky.
Date: 09 April 1946
Signature of funeral director: Archie Craft, Whitesburg, Ky.
Date received by local registrar: 02 May 1946
Registrar's Signature: E. M. Collins
Date of Death: 07 April 1946
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 2:00 a.m.
Immediate cause of death: Poisoning due to Denatured Alcohol
Duration: 06 hrs.
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: accident
Date of occurrence: 06 April 1946
Where did injury occur: public road (rural)
While at work: no
Means of injury: poisoned whiskey
Signature: Archie Craft, Coroner, Whitesburg, Ky.
Date signed: 01 May 1946
Transcribed by Debbie Tamborski, 12 February 2010 |
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