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DEATH
CERTIFICATE
KENNETH HAROLD WILLIAMS
Date 10 July 1952
Cert: 15267
Place of Death: County: Letcher City or Town:
Jenkins, Ky.
Length of stay in hospital or community: 11 days
Name of Hospital or Institution: Sharon Heights Hosp.
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Littcarr, Ky.
Full Name: Kenneth Harold WILLIAMS
Date of Death: 10 July 1952
Sex, Color or Race, Marital Status: Male, White, Never married
Date of Birth: 29 June 1952
Age: 11 days
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Jenkins, Kentucky
Father's Name: Glenn Harold WILLIAMS
Mother's Maiden Name: Maxine POTTER
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mrs. WILLIAMS, Mother
Disease or condition directly leading to death:
(illegible)
Interval between onset and death: Since birth
Due to: Prematurity
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of 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 29 June 1952 to
10 July 1952, that I
last saw the deceased alive on 10 July 1952, and that death occurred on
the date stated above at 6:30 ?.m., from the causes and on the date
stated above.
Date signed: 10 July 1952
Address: Jenkins, Ky.
Signature: (illegible), M.D.
Burial, Cremation or Removal: Burial
Date: 11 July 1952
Name of Cemetery or Creamatory: Litt Carr Cem.
Location: Litt Carr, Knott Co., Ky.
Date received by local registrar: 14 July 1952
Registrar's Signature: G. W. Collins
Funeral director and address: Body taken by family
Transcribed by Debbie Tamborski, 20 February 2010 |
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