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DEATH
CERTIFICATE
JAMES BATES
Date 16 June 1931
Cert: 15628
Place of Death: Voting Pct: #1, M. E. Hospital,
Pikeville, Pike Co., Ky.
Full Name: James BATES
Residence: (blank)
Length of Residence in city where death occurred:
(blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Malisa BATES
Date of Birth: (blank)
Age: 33 years
Occupation: Merchant
Birthplace: Knott Co., Ky.
Father Name: (blank)
Birthplace Father: (blank)
Mother Maiden Name: Bettie BATES
Birthplace Mother: Knott Co., Ky.
Informant/Address: J. S. FRANKLIN, Halo, Ky.
Filed: 16 June 1931
Registrar: J. C. Wright (illegible) W. P. (illegible)
Death of Date: 16 June 1931
I hereby certify that I attended deceased from 10 June 1931 to
16 June 1931, that I last saw him alive on 16 June 1931, and
that death occurred on the date stated above at 6 p.m.
Cause of Death: Typhoid
Duration: 17 days
Contributory: (blank)
Duration: (blank)
Where was disease contracted if not at place of
death?: Halo, Ky.
Did an operation precede death: No Date: (blank)
Was there an autopsy: No
What test confirmed diagnosis: Ordinary
Signed/Address: S. B. Casebolt, M.D., 16 June
1931, Pikeville, Ky.
Place of Burial or Removal: Halo, Ky.
Date of Burial: 18 June 1931
Undertaker/Address: J. W. Call & Son, Pikeville, Ky.
Transcribed by Debbie Tamborski, 30 March 2010 |
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