DEATH
CERTIFICATE
ELIGAH FULLER
Date 31 December 1931
Cert: 30815
Place of Death: Voting Pct: Bulan, Perry Co., Ky.
Full Name: Eligah FULLER
Residence: (blank)
Length of Residence in city where death occurred:
(blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: (blank)
Date of Birth: 1843
Age: 88 years, unknown months
Occupation: at home
Birthplace: Knott Co., Ky.
Father Name: unknown
Birthplace Father: "
Mother Maiden Name: unknown
Birthplace Mother:
"
Informant/Address: Chester NAPIER, Hazard
Burial Cremation Removal Place: Burial, Bulan, Ky.
Date: 01 January 1932
Undertaker/Address: Willard K. Williams, Hazard, Ky.
Filed: (blank)
Registrar: Wm. G. Cornett
Death of Date: 31 December 1931
I hereby certify, That I attended deceased from 31 December
1931 to 31 December 1931, that I last saw h-- alive on
(blank), death is said to have occurred on the date stated
above, at 6 a.m.
Cause of Death: Organic heart disease
Date of onset: (blank)
Contributory causes: (blank)
Was there an autopsy: Inquest
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Specify where injury occurred: (blank)
Manner of injury: Inquest
Nature of injury: Inquest
Related to occupation: (blank)
Signed/Address: Carlow B. Combs, M.D., Hazard, Ky.
Transcribed by Debbie Tamborski, 30 March 2010 |
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