DEATH CERTIFICATE

BALES BURKE

Date   25 September 1936
Cert:  Duplicate #25058     Original #27735
Name:  Bales BURKE
Place of Death: Lackey, Stumbo Memorial Hospital, Knott Co., KY
Residence:  Weeksbury, Floyd Co., Ky. 
Length of residence: (blank)
Male, White, Married
Husband or Wife of:   Dixie BURKE
Birth Date:  14 November 1900 
Age: 35 years, 10 months, 11 days
Occupation:  Coal Miner
Place of Birth:  Pike County, Ky.
Name of Father:  W. B. BURKE
Birthplace Father:  Floyd County, Ky. 
Maiden Name of Mother:  Louise JOHNSON
Birthplace Mother:  Pike Co., Ky. 
Informant:  Robert BURKE, Weeksbury, Ky. 
Death Date:  25 September 1936 
Cause of Death:   Gangrene Appendix & Gen. Peritonitis     Contributory:  Toxemia
Signed:  Stumbo Memorial Hosp., John O. Salyers, M.D., Lackey, Ky.
Burial Place: Hartley Ky.
Date of Burial:  27 September 1936
Undertaker:  J. W. Call & Son, Pikeville, Ky.
File Date:  (blank)
Transcribed by Debbie Tamborski, 16 September 2009