Date: 07 July 1942
Cert: 16450
Place of Death: County: Knott City or
Town: Town
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman
Full Name: Shelbey YOUNG
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Husband Clara YOUNG
Age of husband or wife if alive: 30 years
Birth date of deceased: 22 September 1909
Age: 32 years, 10 months, 15 days
Birthplace: Knott Co., Ky.
Occupation: Clerk in store
Industry or business: (blank)
Father Name: Alonzo YOUNG
Father Birthplace: Kentucky
Mother Maiden Name: Manda PIGMAN
Mother Birthplace: Knott Co., Ky.
Informant: L. C. YOUNG, Hindman, Ky.
Burial Place: Hindman
Date: 10 July 1942
Signature of funeral director: Engle Und. &
Hdwe. Co., Hazard, Ky.
Date received by local registrar: 06 August 1942
Registrar's Signature: Ida Livingston
Date of Death: 07 July 1942
I hereby certify that I attended deceased from 01 January 1942 to
07 July 1942, that I last saw him alive on 07 July 1942, and
that death occurred on the date stated above at 7 a.m.
Immediate cause of death: Sarcoma of the glands of the
throat
Duration: (blank)
Due to: (blank)
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: M. F. Kelley, Hindman, Ky.
Date signed: 01 August 1942
Transcribed by Debbie Tamborski, 18 October 2010 |