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DEATH
CERTIFICATE
WALTER LEE BRANHAM
Date 17 December 1940
Cert: 29247
Place of Death: County: Knott City or Town:
Lackey
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: West Prestonsburg
Full Name: Walter Lee BRANHAM
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 03 April 1922
Age: 18 years
Birthplace: West Prestonsburg, Ky.
Occupation: Laborer Gas Co.
Industry or business: (blank)
Father Name: Goble BRANHAM
Father Birthplace: Floyd Co.
Mother Maiden Name: Annie SALMONS
Mother Birthplace: West Prestonsburg, Ky.
Informant/Address: Fletcher MAYO, West Prestonsburg, Ky.
Burial Place: Prestonsburg, Ky.
Date: 20 December 1940
Signature of funeral director/address: E. P.
Arnold, Prestonsburg, Ky.
Date received by local registrar: 29 December 1940
Registrar's Signature: Macie Miller
Date of Death: (blank)
I hereby certify that I attended deceased from 15 December
1940 to
17 December 1940, that I last saw h-- alive on 17 December
1940, and that death occurred on the date stated above at
10:15 p.m.
Immediate cause of death: Pneumonia & ruptured appendix
Duration: (blank)
Due to: (blank)
Major findings of operations: Ruptured appendix
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: W. L. Stumbo, M.D., Lackey, Ky.
Date signed: 17 December 1940
Transcribed by Debbie Tamborski, 16 August 2010 |
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