Date: 19 April 1948
Cert: 08265
Place of Death: County: Knott City or
Town: Anco, Ky. Rural
Name of Hospital or Institution: none
Length of stay in hospital or community: 02 years
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Anco Rural
Full Name: Henry C. WHITE
If Veteran Name War: None
Social Security No.: None
Sex, Color or Race, Marital Status: Male, White,
Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 04 March 1862
Age: 86 years, 01 months, 15 days
Birthplace: Breathitt County, Ky.
Occupation: Farmer
Industry or business: Farm
Father Name: Hige WHITE
Father Birthplace: Breathitt County, Ky.
Mother Maiden Name: Renda CAMPBELL
Mother Birthplace: Perry County, Ky.
Informant: J. C. WHITE, Lothair, Ky.
Burial Place: Lothair, Ky.
Date: 20 April 1948
Signature funeral director: Maggard-Blair & Garrett,
Hazard, Ky.
Date received by local registrar: 29 April 1948
Registrar's Signature: Rose B. Craft
Date of Death: 19 April 1948
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 8:45 a.m.
Immediate cause of death: Heart failure
Duration: (blank)
Due to: arteriosclerotic heart disease
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: J. R. Aker, M.D., Anco, Ky.
Date signed: 25 April 1948
Transcribed by Debbie Tamborski, 29 December 2010 |