Campbell County Death Certificates

CERTIFICATE OF DEATH
STATE OF KENTUCKY
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF VITAL STATISTICS

 
Edgar William Leach
Reg. Number:  193; Reg. District: 835
Certificate Number: 25902

IMAGE

Name: Edgar William Leach
Residence: Jellico, Campbell County, TN
Sex: Male
Race: W
Date of Birth: 04 Aug 1894
Place of Birth: TN
Date of Death: 01 Sep 1983
Place of Death: Hillcrest Nursing Home, Corbin, KY
Age: 89
Marital Status: Married
Spouse, if living: Lucile Combs
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number: 406-01-8467
Occupation: Building Contractor
Industry or Business: Business
Father's Full Name: Speed S. Leach
Father's Birthplace:
Mother's Full Maiden Name: Ollie King
Mother's Birthplace:
Cause of Death: Cardiac Arrest
  • Due to: Mycardial Infraction
  • Other conditions: (left blank)
  • Operation?: (left blank)
  • Autopsy?: (left blank)
If death was due to external causes, fill in the following:
  • Accident, Suicide, or Homicide: (left blank)
  • Date of Occurrence:
  • Where did the injury occur: (left blank)
  • Did injury occur in or about home, on farm, in industrial place, in public place?: (left blank)
  • While at work: (left blank)
  • Means of Injury: (left blank)
Informant: Lucille Combs Leach
Informant Address: Jellico, TN
Burial, Removal, or Cremation: Burial, Jellico Cemetery, Jellico, TN
Date: 03 Sep 1983
Undertaker: Cox & Son Funeral Home
Address: Jellico, TN
By: George W. Ellison
Date Filed: 03 Oct 1983
Registrar: Ruth P. Gaines
Signature: Richard (?) Panky(?), MD
Address:

Submitter's Name: Bob Leach
Submitter's Email: bleach@rose.net
Relationship to the Deceased:

Comments:



 


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