Date: 03 March 1941
Cert: 10601
Place of Death: County: Knott Co. City or
Town: Cordia
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott Co.
City or Town: Cordia
Full Name: John YOUNG
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: Catherine YOUNG
Age of husband or wife if alive: (blank)
Birth date of deceased: 06 July 1858
Age: 82 years
Birthplace: Knott Co., Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: Reece YOUNG
Father Birthplace: Ky.
Mother Maiden Name: Ora RITCHIE
Mother Birthplace: Ky.
Informant: Kelly YOUNG, Cordia, Ky.
Burial Place: Cordia
Date: 05 March 1941
Signature of funeral director: (blank)
Date received by local registrar: 28 April 1941
Registrar's Signature: Macie Miller
Date of Death: 03 March 1941
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 (blank)
Immediate cause of death: paralysis
Duration: (blank)
Due to: Senility
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. W. Duke, M.D., Hindman
Date signed: 28 April 1941
Transcribed by Debbie Tamborski, 15 October 2010 |