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DEATH
CERTIFICATE
WILLIAM E. HAMMOND
Date 28 April 1941
Cert: 13554
Place of Death: County: Perry City or Town:
Hazard
Name of Hospital or Institution: Hazard Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Red Fox, Ky., Rural
Full Name: William E. HAMMOND
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 21 June 1937
Age: 03 years
Birthplace: Knott Co., Ky.
Occupation: none
Industry or business: (blank)
Father Name: Leonard HAMMOND
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Lura COLLINS
Mother Birthplace: Knott Co., Ky.
Informant: Leonard HAMMOND, Red Fox, Ky.
Burial Place: Red Fox
Date: 29 April 1941
Signature of funeral director: Engle's, Hazard
Date received by local registrar: 12 May 1941
Registrar's Signature: Kathryn S. Johnson
Date of Death: 28 April 1941
I hereby certify that I attended deceased from 28 April 1941 to
28 April 1941, that I
last saw him alive on 28 April 1941, and that death occurred on the date
stated above at 8:45 p.m.
Immediate cause of death: Uremic Coma
Due to: Nephroses
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: Jas. E. Hagan, M.D., Hazard, Ky.
Date signed: 17 May 1941
Transcribed by Debbie Tamborski, 01 February 2010 |
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