Thas. Jeffersen Hodge

Death Index

 

 

Submitted by: Kathy Hines


 

  Kentucky Certificate of Death
  Registration District No. 6120
  Primary Registration District No.
  File No. 40
  Registered No. 25658
  County Laurel Co., KY
  Vot. Pct.:
  City or town: London

  Full Name: Thas. Jeffersen Hodge
  Sex: M
  Color: White
  Marital Status: Infant
  Date of Birth of deceased: Aug 22, 1917
  Age: yrs, 1 mos., 2 dys.

  Occupation: none
  Birthplace: Ky
  Name of Father: Walter Hodge
  Birthplace of Father: Ky
  Maiden Name of Mother: Carie Moore
  Birthplace of Mother: [blank]
  Informant's own signature: Mrs. Walter Hodge
  (Address) London Ky
  Filed: 10/10, 1917 OD Brock Registrar

  [right hand column of the death certificate]
  Date of Death: Sept 24, 1917
  I Hereby Certify That I attended deceased from never saw him, 19 to was found dead in bed,
  19 . I last saw h_ alive on , 19 death is said to have occurred on the date stated above, at 11
  Pm.
  Cause of Death: Dont Know - never saw him, was found dead in bed
  Due to:
  Duration:
  (Signed) Oscar D Brock, M.D.
  (Address) London Ky Date Signed: Sept 25, 1917
  Burial, cremation, or removal: Cemetery Hill Date of burial: Sept 25, 1917
  Undertaker: JB Eberlein
  (Address) London Ky