|
DEATH
CERTIFICATE
WILLIAM P. BOWLING
Date: 20 April 1947
Cert: 14271
Place of Death: County: Perry City or Town:
Kodak
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Kodak
Full Name: William P. BOWLING
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 1874
Age: 74 years
Birthplace: Knott
Occupation: Black Smith
Industry or business: (blank)
Father Name: Lydge BOWLING
Father Birthplace: Va.
Mother Maiden Name: Sally WALTERS
Mother Birthplace: Va.
Informant: George BOWLING, Kodak, Ky.
Burial Place: L. Creek (Letcher)
Date: 21 April 1947
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 23 April 1947
Registrar's Signature: Pearl G. Combs
Date of Death: 20 April 1947
I hereby certify that I attended deceased from 01 January 1947 to
20 April 1947, that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Gastric Ulcer
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: H. P. Duff, M.D.
Date signed: (blank)
Transcribed by Debbie Tamborski, 22 June 2010 |
|