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DEATH
CERTIFICATE
GEORGE W. YOUNG
Date 05 September 1940
Cert: 22453
Place of Death: County: Perry City or Town:
Duane
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: rural Street No.:
#18
Full Name: George W. YOUNG
If Veteran Name War: (blank)
Social Security No.: 402-18-0985
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Mrs. G. W. YOUNG
Age of husband or wife if alive: (blank)
Birth date of deceased: 08 August 1874
Age: 66 years, 27 days
Birthplace: Knott County, Ky.
Occupation: railroad employee
Industry or business: Railroad
Father Name: Albert YOUNG
Father Birthplace: Knott County
Mother Maiden Name: Sallie Ann MESSER
Mother Birthplace: don't know
Informant: Seela SMITH, Bulan, Ky.
Burial Place: Riverside Cem.
Date: 06 September 1940
Signature of funeral director: William S. Norris, Hazard, Ky.
Date received by local registrar: 15 September 1940
Registrar's Signature: Kathryn S. Johnson
Date of Death: 05 September 1940
I hereby certify that I attended deceased from August 1938 to
05 September 1939, that I last saw him alive on 05 September
1939, and that death
occurred on the date stated above at (blank)
Immediate cause of death: Parmchymtous nephritis of
Kidneys chronic
Duration: 03 years
Other conditions: not know
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. P. Boggs, Hazard, Ky.
Date signed: 03 October 1940
Transcribed by Debbie Tamborski, 11 May 2010 |
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