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DEATH
CERTIFICATE
WILLIAM M. ENGLE
Date 16 August 1942
Cert: 23148
Place of Death: County: Perry City or Town:
Hazard
Street No. or Location: Broadway
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Hazard Street No.:
Broadway
Full Name: William M. ENGLE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Berta ENGLE
Age of husband or wife if alive: 60 years
Birth date of deceased: 06 June 1885
Age: 57 years
Birthplace: Knott Co.
Occupation: Merchant
Industry or business: (blank)
Father Name: Henry ENGLE
Father Birthplace: Knott Co.
Mother Maiden Name: Polly Ann COMBS
Mother Birthplace: Knott Co.
Informant: Ray ENGLE, Hazard, Ky.
Burial Place: Englewood
Date: 18 August 1942
Signature of funeral director: G. W. Nicholson, Hazard, Ky.
Date received by local registrar: 01 October 1942
Registrar's Signature: Anna L. Boulos
Date of Death: 16 August 1942
I hereby certify that I attended deceased from 10 March 1942 to
15 August 1942, that I last saw him alive on 15 August 1942,
and that death occurred on the date stated above at 4:45 a.m.
Immediate cause of death: Heart Failure
Duration: Sudden
Due to: Hypertension & Gastritis
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: S. M. Richie, M.D., Hazard, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 25 May 2010 |
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