DEATH CERTIFICATE

 WILLIAM CENTERS

Date:   31 October 1941
Cert:   29451 
Place of Death: County: Knott     City or Town: Rural
Street No. or Location:  Cody, Ky.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Rural
Full Name:  William CENTERS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Burnette CENTERS
Age of husband or wife if alive:  26 years
Birth date of deceased:  03 June
Age: 31 years
Birthplace:  Powell Co., Ky.
Occupation:  Coal Miner
Industry or business: (blank)
Father Name:  Manuel CENTERS
Father Birthplace:  Ky.
Mother Maiden Name:  Gergewann Knox
Mother Birthplace:  Ky.
Informant:  Mrs. William CENTERS, Cody, Ky.
Burial Place:  Carr Creek
Date:  02 November 1941
Signature of funeral director: Engle Und. & Hdwe., Hazard, Ky.
Date received by local registrar:  21 November 1941
Registrar's Signature:  Anna L. Boulos
Date of Death:  31 October 1941
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:  Toxic Heart Failure 
Duration: (blank)
Due to: Strep --sore throat toxin
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. R. Aker, M.D., Anco, Ky.
Date signed:  10 November 1941
Transcribed by Debbie Tamborski, 11 October 2010