Date: 27 June 1943
Cert: 15275
Place of Death: County: Knott City or
Town: May (rural)
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: May (rural)
Full Name: Bertie HALE CENTERS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Steve CENTERS
Age of husband or wife if alive: 53 years
Birth date of deceased: 10 May 1892
Age: 48 years, 10 months, 13 days
Birthplace: Woolf Co., Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: Alen HALE
Father Birthplace: Letcher Co., Ky.
Mother Maiden Name: Dasha HONEYCUT
Mother Birthplace: Knott Co., Ky.
Informant: Steve CENTERS, May, Ky.
Burial Place: May, Ky.
Date: 28 June 1943
Signature of funeral director: Denver Toliver, Spider, Ky.
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 27 June 1943
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Hypertension
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: J. W. Duke, M.D., Hindman
Date signed: 25 March 1945
Transcribed by Debbie Tamborski, 20 October 2010 |