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DEATH
CERTIFICATE
ZELLIE HAMPTON
Date: 08 August 1945
Cert: 17864
Place of Death: County: Perry City or Town:
Hazard, Ky.
Hospital or Institution: Hurst Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky County:
Perry
City or Town: Hazard, Ky.
Full Name: Zellie HAMPTON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, Negro, Married
Husband or Wife of: Charlie HAMPTON
Age of husband or wife if alive: 45 years
Birth date of deceased: 28 February 1916
Age: 28 years
Birthplace: Knott Co.
Occupation: House Wife
Industry or business: (blank)
Father Name: W. C. WILLIAMS
Father Birthplace: Knott Co.
Mother Maiden Name: Cardlia WILLIAMS
Mother Birthplace: Knott Co.
Informant: S. L. GREEN, Hazard, Ky.
Burial Place: Red Fox, Knott Co.
Date: 12 August 1945
Signature funeral director: Maggard Funeral Home, Hazard, Ky.
Date received by local registrar: 11 August 1945
Registrar's Signature: Opsie J. Deaton
Date of Death: 08 August 1945
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Acute
cholecrystitis
with choleli???, empyzema of Gall Bladder (illegible) &
general peritonitis
Duration: (blank)
Due to: (blank)
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: D. L. Peterson, M.D., Hazard,
Ky.
Date signed: 10 August 1945
Transcribed by Debbie Tamborski, 05 June 2010 |
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