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CERTIFICATE OF DEATH
STATE OF KENTUCKY
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF VITAL STATISTICS
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Henry Hubert Leach
Reg. Number: 270; Reg. District:
60
Certificate Number: 19419
IMAGE
Name: Henry Hubert Leach
Residence: Devonia, Anderson County,
TN
Sex: Male
Race: W
Date of Birth: 13 Oct 1899
Place of Birth: Anderson County, TN
Date of Death: 06 Sep 1962
Place of Death: Middlesboro Memorial
Hosp., Middlesboro, Bell, KY
Age: 63
Marital Status: Married
Spouse, if living: unknown
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number: 410-16-9137
Occupation:
Industry or Business: (left blank)
Father's Full Name: Lindsey Leach
Father's Birthplace:
Mother's Full Maiden Name: Elizabeth
Thompson
Mother's Birthplace:
Cause of Death: Pneumonia (aspiration)
- Due to: Thrombosis left middle
meningeal artery
- Other conditions: Arteriosclerotic
heart disease
- 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: not listed
Informant Address:
Burial, Removal, or Cremation: Burial,
Oliver Springs Cemetery, Oliver Springs,TN
Date: 09 Sep 1962
Undertaker: Clyde Cox Funeral Home
Address: Lake City, TN
By:
Date Filed: 12 Sep 1962
Registrar: Edward Smith
Signature: Joseph Book, MD
Address: Middlesboro, KY
Submitter's Name: Bob Leach
Submitter's Email: bleach@rose.net
Relationship to the Deceased:
Comments: This is the grandson of
John Calvin Leach and Selina Disney of Anderson County, TN.
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