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DEATH
CERTIFICATE
WILLIE DOBINSON
Date 25 July 1941
Cert: 20827
Place of Death: County: Perry City or Town:
Hazard
Name of Hospital or Institution: Hazard Hosp. Co.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Hindman
Full Name: Willie DOBINSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Fleatie
Age of husband or wife if alive: 49
Birth date of deceased: 08 March 1889
Age: 50 years, 04 months, 17 days
Birthplace: Knott County
Occupation: Farmer
Industry or business: (blank)
Father Name: James DOBINSON
Father Birthplace: Knott County
Mother Maiden Name: Sarah HICKS
Mother Birthplace: Knott County
Informant: Adam DOBINSON, Hindman, Ky.
Burial Place: Vest, Ky.
Date: 26 July 1941
Signature of funeral director: Engle Und. & Hdw. Co., Main
St., Hazard, Ky.
Date received by local registrar: 26 August 1941
Registrar's Signature: Kathryn S. Johnson
Date of Death: 25 July 1941
I hereby certify that I attended deceased from 24 July 1941 to
25 July 1941, that I
last saw him alive on 25 July 1941, and that death occurred on the date
stated above at 3 p.m.
Immediate cause of death: Acute pancreatitis
Due to:
Major findings of operations: no
Accident, suicide, or homicide: no
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: J. E. Hagan, M.D., Hazard, Ky.
Date signed: 10 August 1941
Transcribed by Debbie Tamborski, 01 February 2010 |
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