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DEATH
CERTIFICATE
OTIS WHITT
Date: 22 April 1953
Cert: 07514
Place of Death: County: Floyd City or Town:
Martin
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Manton Street Address: (blank)
Full Name: Otis WHITT
Date of Death: 22 April 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: (blank)
Age: 41 years
Usual Occupation: Miner
Kind of Industry or business: Mining
Birthplace: Knott Co.
Father's Name: Dodge WHITT
Mother's Maiden Name: Martha HICKS
Was deceased ever in armed forces: (blank)
Social Security No.: 402-12-2746
Informant: Carrie WHITT
Disease/condition directly leading to death: Coronary
Occlusion
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (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 16 April 1953 to
22 April 1953, that I last saw the deceased alive on 22 April
1953, and
that death occurred at 5:05 a.m., from the causes and on the
date stated above.
Date signed: 27 April 1953
Address: Martin, Ky.
Signature: C. L. Allen, M.D.
Burial, Cremation or Removal: Burial
Date: 25 April 1953
Name of Cemetery or Crematory: Family
Location: Mousie, Ky.
Date received by local registrar: 27 April 1953
Registrar's Signature: Lucy Ransdell
Funeral director & address: John C. Hall, Martin,
Ky.
Transcribed by Debbie Tamborski, 13 August 2010 |
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