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DEATH
CERTIFICATE
WOOLERY (?) CAMPBELL
Date 13 November 1936
Cert: 02508
Place of Death: Voting Pct.: No. 30, Hazard Hospital
Co., Hazard, Perry Co., Ky.
Full Name: Woolery (?) CAMPBELL
Residence: Lothair, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: (blank)
Date of Birth: 04 December 1863
Age: 72 years, 10 months, 39 days
Occupation: Farmer
Birthplace: Knott Co., Ky.
Father Name: Bill CAMPBELL
Birthplace Father: Kentucky
Mother Maiden Name: -- CREECH
Birthplace Mother: Kentucky
Informant/Address: Charles RIDDLE, Lothair, Ky.
Burial Cremation Removal Place: Mallie, Ky.
Date: (blank)
Undertaker/Address: Engle Bros., Hazard, Ky.
Filed: 15 January 1937
Registrar: J. P. Boggs
Death of Date: 13 November 1936
I hereby certify, That I attended deceased from 12 November
1936 to
13 November 1936, that I last saw him alive on 13 November
1936, death is said to have occurred on the date stated above,
at 8:50 p.m.
Cause of Death: Pneumonia
Date of onset: (blank)
Contributory causes: Acute Cold
Name of operation: None
What test confirmed diagnosis: Clinical
Was there an autopsy: No
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: No
Signed/Address: J. E. Hagan, M.D., Hazard, Ky.
Transcribed by Debbie Tamborski, 18 April 2010 |
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