Standard Certificate of Death
West Virginia Department of Health

NORA CLICK

Cert: #11040
Place of Death: County: McDowell District: Sandy River
City or Town: Avendale Address: Rural (Mile Branch)
Place of Residence: State: (blank) County: (blank)
City or Town: (blank)
Full Name: Nora CLICK
Veteran: No Social Security No.: No
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of: (blank)
Date of Birth: 25 June 1906
Age: 36 years, 09 months, 10 days
Birthplace: Hineman, Ky.
Occupation: Blank
Father Name: Charlie Click
Father Birthplace: Scott Co., Va.
Mother Maiden Name: Ellin STURGEL
Mother Birthplace: Hineman, Ky.
Informant: Chas. Click, Avendale, WVa.
Date: 06 March 1944
Cemetery & Location: Dry Branch, Avendale, WVa.
Signature of funeral director: (illegible) Wva.
Date received by local registrar: 12 August 1944
Registrar's Signature: L. L. Belcher
Date of Death: 05 March 1944, 5:15 a.m.
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: (blank)
Duration: (blank)
Due to: Elleptic fits
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: none called
Transcribed by Debbie Tamborski, 13 March 2011