DEATH CERTIFICATE

ORLENA DAVIS

Date  17 June 1937
Cert:  24194
Name:  Orlena DAVIS
Place of Death: Voting Pct. #19 Lackey, St. M. Hosp., Knott Co., KY
Residence: Garrett, Kentucky
Length of residence: (blank)
Female, White, Married
Husband or Wife of:  (blank)
Birth Date:  (blank)
Age: 60 years
Occupation:  Domestic
Place of Birth: Ballard, Ky.
Name of Father:  Dan SCOTT
Birthplace Father:  Missouri
Maiden Name of Mother:  Sarah HOOVER
Birthplace Mother:  Ballard, Ky.
Informant:  Martin MOORE, Garrett, Ky.
Death Date:  17 June 1937
Cause of Death:  Cancer of the Liver
Signed:  W. L. Stumbo, M.D., Lackey, Ky.
Burial Place:  Garrett, Ky.
Date of Burial:  14 June 1937
Undertaker:  G. D. Ryan, Martin, Kentucky
File Date:  30 September 1937
Registrar:  (blank)
Transcribed by Debbie Tamborski, 29 September 2009