[name not read] · casualty
Report of Casualty, 2 pages · T925-0005, pp. 49–50
FitOpen ↗
Zoom in, then drag to pan. Ctrl or ⌘ + scroll, or pinch, zooms at the cursor.
Reader’s notes on the scan
- Word '<Copy>' written at top right.
- Form 2692
- Number 877 visible on left edge.
Form header
- Running number
- —
- Filed at
- Collection District No. 43, Port of place, Clarksville, Tennessee,
- Received
- U. S. COAST GUARD REC'D OCT 24 1919 · 24 Oct 1919
- Vessel name written at top
- —
- Other numbers
- —
- Stamps on the form
- —
Vessel
- 2 · Name, rig, nationality
- [name not read] · stern wheel, Amer.
- 6 · Official number
- 216025
- 3 · Tonnage
- 21 Gross - & 14 net
- 4 · Age or year built
- About five (5) months.
- 5 · Port registered
- Nashville, Tennessee
- 7 · Master and residence
- Jessie H Hayes.
- 8 · Owner and residence
- Montgomery County Tennessee
Casualty
- 1 · Date
- Aug. 21, 1918, at 4 o'clock P.M.
- 24 · Locality
- at 7 mi. Ferry near Clarksville, Tenn.
- 9–10 · Voyage
- Ferry across river at 7 mi ferry Aug 21, 1918 → Ferrying across river.
- 27 · Weather
- quiet
- 11–13 · Passengers / crew / lost
- 8 passengers, One crew, no persons lost
- 14 · Value of vessel
- $3000
25 · Nature of casualty, as written
Caught fire from gasoline engine.
26 · Cause, as written
Fire Caused from igniting of gasoline due to back fire of engine
Signature
- Signed by
- Jesse H. Hayes · Master
- Company or by
- —
- Date signed
- Oct 14, 1918
- Place
- —
Show all 30 items
Verbatim from the form. Item labels are approximate; the printed wording varies by year.
- 1 · Date of casualty
- Aug. 21, 1918, at 4 o'clock P.M.
- 2 · Vessel, rig, nationality
- Amer. gas-stern wheel-wood
- 3 · Tonnage
- 21 Gross - & 14 net
- 4 · Age or year built
- About five (5) months.
- 5 · Port registered
- Nashville, Tennessee
- 6 · Official number
- 216025
- 7 · Master and residence
- Jessie H Hayes.
- 8 · Owner and residence
- Montgomery County Tennessee
- 9 · Sailed from
- Ferry across river at 7 mi ferry Aug 21, 1918
- 10 · Bound for
- Ferrying across river.
- 11 · Passengers
- 8
- 12 · Crew
- One
- 13 · Persons lost
- None
- 14 · Value of vessel
- $3000
- 15 · Value of cargo
- Unknown.
- 16 · Cargo
- Mixed - wagons, etc.
- 17 · Deck load
- Yes.
- 18 · Overladen
- No.
- 19 · Cargo weight
- Unknown - light.
- 20 · Loss or insurance (20)
- Total.
- 21 · Loss or insurance (21)
- None
- 22 · Loss or insurance (22)
- None
- 23 · Loss or insurance (23)
- None
- 24 · Locality
- at 7 mi. Ferry near Clarksville, Tenn.
- 25 · Nature of casualty
- Caught fire from gasoline engine.
- 26 · Cause
- Fire Caused from igniting of gasoline due to back fire of engine
- 27 · Weather
- quiet
- 28 · Measures taken
- Everything possible done to put out fire.
- 29 · Assistance
- Hurst Finney, a license Engineer on boat & in charge of same when burnt.
- 30 · Remarks
- I Jesse H Hayes was sick at home near ferry when boat was burned & Hurst Finney operating boat at time of accident.