Campbell County Death Certificates

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

 
ROSCOE LEACH
Reg. Number:  116; Reg. District: 1460
Certificate Number: 14228

IMAGE

Name: ROSCOE LEACH
Residence: Cane Creek, Whitley County, KY
Sex: Male
Race: W
Date of Birth: 07 Apr 1895
Place of Birth: TN
Date of Death: 14 Jun 1958
Place of Death: Rural Jellico, Whitely County, KY
Age: 62
Marital Status: Married
Spouse, if living: Mary Jane Leach
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number:
Occupation: Mechanic
Industry or Business: (left blank)
Father's Full Name: John Leach
Father's Birthplace:
Mother's Full Maiden Name: Sarah Jane Leach
Mother's Birthplace:
Cause of Death: Accidentaly by explosion
  • Due to: Explosion
  • 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: Accident
  • Date of Occurrence: 14 Jun 1958
  • Where did the injury occur: at work
  • Did injury occur in or about home, on farm, in industrial place, in public place?: Home
  • While at work: yes
  • Means of Injury: (left blank)
Informant: Mary Jane Leach
Informant Address: Can Creek, Whitley County, KY
Burial, Removal, or Cremation: Burial, Cane Creek Cemetery, Whitley County, KY
Date: 17 Jun 1958
Undertaker: Ellison Funeral Home
Address: Jellico, TN
By:
Date Filed: 20 Jun 1958
Registrar: Lola W. Johnson
Signature: signed
Address:

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

Comments: Roscoe's wife's maiden name was Mary Jane Miller.

 

 


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