|
DEATH
CERTIFICATE
DOLLIE VERTIE HAMMONS
Date 10 November 1937
Cert: Original #20246 Duplicate
#4566
Name: Dollie Vertie HAMMONS
Place of Death: Voting Pct. Lower Jones Fork #19, Stumbo Mem.
Hosp., Knott Co., KY
Residence: Northern, Ky.
Length of residence: (blank)
Female, White, Single
Husband or Wife of: (blank)
Birth Date: 30 August 1917
Age: 20 years, 02 months, 10 days
Occupation: (blank)
Place of Birth: Floyd Co., Ky.
Name of Father: Sam HAMMONS
Birthplace Father: Magoffin Co., KY.
Maiden Name of Mother: Elizabeth MEADE
Birthplace Mother: Knott Co., Ky.
Informant: Ray HAMMONS, Paintsville, Ky.
Death Date: 10 November 1937
Cause of Death: (?He????) Jaundice
Signed: M. V. Wicker, M.D., Wayland, Ky.
Burial Place: Greentown Cem.
Date of Burial: 13 November 1937
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 29 August 1938
Registrar: G. C. Collins
Transcribed by Debbie Tamborski, 02 October 2009 |
|