|
of Robert Hodges 1923 |
Submitted by Kathy Hines
Kentucky Certificate of Death - marked
"DELAY"
Registration District No. 6053
Primary Registration District No. P.R
6
File No. 14066
Registered No.
County Laurel
Vot. Pct.: Johnson
City or town:
Full Name: Robert Hodges
Sex: M
Color: White
Marital Status: Infant
Date of Birth of deceased: Aug 22,
1922
Age: yrs, 6 mos., 18 dys.
Occupation: Infant
Birthplace: Laurel Co Ky
Name of Father: W.S. Hodges
Birthplace of Father: Laurel Co Ky
Maiden Name of Mother: Lona Johnson
Birthplace of Mother: Laurel Co Ky
Informant's own signature: W.S. Hodges
(Address) Langnan Ky
Filed: [written over several times,
1923 [blank] Registrar
[right hand column of the death certificate]
Date of Death: March 10, 1923 [date
is clear here]
I Hereby Certify That I attended deceased
from March 4, 192[1?] to March 16[?], 1923. I last
saw him alive on March 8, 1923, and
that death occurred on the date stated above, at _m.
Cause of Death: Flue Pneumonia
Due to:
Duration: About 8 ds.
(Signed) J[ermy?] Johnson, M.D.
(Address) R #1 London Ky Date Signed:
March 11, 1923
Burial, cremation, or removal: New
Salem Cem. Date of burial: March 11, 1923
Undertaker: Joe Owens
(Address) Langnan Ky
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