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Note: NAME: FGR of Benjamin Carl BUCKLES SSDI: listed nothing conclusive for this individual, Ocean FHC, Henderson, NV. 21 Oct 1998. BIRTH: Application for Delayed Certificate of Birth, filled out by Carl Henry Buckles on 06 Jan 1942, in which he is requesting his own birth certificate, and states his birth place was St. John, Stafford, Kansas. Carl Henry's age at time of application: 53y 8m 28d. His age at death: 59y 5m 22d. BIRTH: Place, from handwritten note in Ben Buckles' hand on Maxine Buckles' Ancestral File FGR of David Lee BUCKLES & wife Katheryn Emonia GREER. Birth place formerly recorded as St. John, Stafford, Kansas. DEATH: Nevada State Department of Health, Division of Vital Statistics. Certificate of Death. Registrar's No. 292. Place of death County: Clark. City or town: Las Vegas. Name of Hospital or Institution: Las Vegas Hospital. Length of stay in hospital or institution: 2 months. In this community: 6 years. Full Name: Carl Henry Buckles. If veteran, name war: World War 1. Social Security No: 510-01-3664. Sex: M. Color or race: W. Marital Status: M. Name of spouse: Helen Elizabeth. Age of spouse: 55 years. Birth date of deceased: April 9 1888. Age (at death): 59 years, 5 months, 12 days. Birthplace: Stafford, Kansas. Usual Occupation: Mechanic. Industry or business: Automobile (garage). Name of Father: David Lee Buckles. Birthplace: no record, Kentucky. Maiden name of Mother: Kate Greer. Birthplace of Mother: no record, Missouri. Name of Informant: Benjamin Carl Buckles, 619 Avenue K, Boulder City, Nevada. (Burial, cremation or removal) Removal Date: Oct. 2, 1947. Place: Coffeyville, Kansas. Funeral Director: Palm Chapel, Las Vegas, Nevada. Usual Residence of deceased: State: Nevada. County: Clark. City or town: Las Vegas. Street No: 224 No. 9 St. MEDICAL CERTIFICATION Date of death: Oct 1, 1947, time 6:30 AM. Immediate cause of death: Pancreatitis, due to: Post Operative Inflamation. Major findings of operations: Gastric ulcer & pancreatitis. Of autopsy: (blank). Signature: S. L. Hardy, MD, Las Vegas. Date: 10/2/1947.
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