Name of Deceased: Thomas Richard Knowles
Date of Death: April 27, 1970
Sex: Male
Color or Race: White
State of Birth: N.C.
Date of Birth: June. 19, 1928
Age: 41 years
Place of Death: County: Moore, City: Carthage; Name of Hospital/Institution: N.C. Dept of Correction; Not inside city Limits
Usual Residence: State: N.C., County; Cabarrus; City: Midland; Street: Rt. 1 Box 425; Not inside city limits
Divorced
Citizen of what Country: U.S.A.
Social Security Number: 224-32-7574
Usual Occupation: Plumber
Kind of Business: Construction
Father's Name: Robert Kuther Knowles
Mother's Maiden Name: Lena Bost
Informant's Name and Address: N.C. Dept. of Correction Records, Carthage, NC
Cause of Death: Acute Myocardial Infarction; duration (illegible)
Autopsy: Yes. Used to determine cause of death.
Certification of Medical Examiner: On the basis of the examination of the body and investigation, in my opinion death was due to the causes stated above. The deceased was pronounced dead at 1:40pm on 27 Apr. 1970 (signature: ________, M.D; 29 Apr, 1970; Carthage, N.C.)
Burial: 5-5-70; County Home Cemetery; Moore Co., N.C.
Funeral Home: Fry & Prickett Funeral Home, Carthage, N.C.; Signature of Funeral Director: T.T. Prickett, License No. 1495.
Date Rec'd by Local Reg: 5-4-70
Signature of Registrar: ________,
Signature of Embalmer: T.T. Prickett, License No. 821
(Source: Transcribed from copy of original document)