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DEATH
CERTIFICATE
LESLIE HAGINS WILLIAMS
Date 03 February 1931
Cert: 05285
Place of Death: Voting Pct. Vicco, Perry Co., Ky.
Full Name: Leslie Hagins WILLIAMS
Residence: Vicco, Ky.
Sex, Color or Race, Marital Status: Male, Colored,
Married
Husband or Wife of: Cinda HAGINS
Date of Birth: 1894
Age: 36 years
Occupation: Miner
Birthplace: Knott Co.
Father Name: Kay WILLIAMS
Birthplace Father: Knott Co.
Mother Maiden Name: Rose Ella COMBS
Birthplace Mother: Perry Co., Ky.
Informant/Address: Cinda HAGINS
Burial Cremation Removal Place: Knott Co.
Date: 05 February 1931
Undertaker/Address: Ideal Furn. Co., Hazard, Ky.
Filed: 20 February 1931
Registrar: D. C. Combs
Death of Date: 03 February 1931
I hereby certify, That I attended deceased from 03 February
1931 to (blank), that I last saw h-- alive on (blank), death
is said to have occurred on the date stated above, at 7 a.m.
Cause of Death: accidental - Severe con. of head, chest,
abdomen with fractured skull. Slate fall in mines
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: Accident
Date of Injury: 03 February 1931
Where did injury occur: Allock, Ky.
Specify whether injury occurred: Industry (mines)
Manner of injury: accidental
Nature of injury: Con. of head, chest, abdomen
Related to occupation: Yes If
so, specify: Mines
Signed/Address: D. D. Grant, M.D., Allock, Ky.
Transcribed by Debbie Tamborski, 31 March 2010 |
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