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DEATH
CERTIFICATE
WILSON HAYES
Date 27 June 1941
Cert: 14013
Place of Death: County: Boyd City or Town:
Ashland
Street No. or Location: 3220 Ridgeway Dr.
Usual Residence of Deceased: State: County:
City or Town: Same
Full Name: Wilson HAYES
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Rhoda HAYES
Age of husband or wife if alive: 86 years
Birth date of deceased: 28 January 1852
Age: 89 years
Birthplace: Knott Co., Ky.
Occupation: Farmer
Industry or business: Retired
Father Name: Jno HAYES
Father Birthplace: N.C.
Mother Maiden Name: Mahala MARTIN
Mother Birthplace: don't know
Informant: Claude HAYES, Ash, Ky.
Burial Place: Lackey, Ky.
Date: 29 June 1941
Signature of funeral director: O. S. Clark, Ash, Ky.
Date received by local registrar: 29 June 1941
Registrar's Signature: Mrs. C. P. Gartan
Date of Death: 27 June 1941
I hereby certify that I attended deceased from 18 June 1941 to
27 June 1941, that I last saw him alive on 24 June 1941, and
that death occurred on the date stated above at 9 p.m.
Immediate cause of death: Apoplexy
Duration: 09 days
Due to: Hemorrhage in brain
Other conditions: Senility
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Proctor Sparks, M.D., Ashland,
Ky.
Date signed: 28 June 1941
Transcribed by Debbie Tamborski, 13 May 2010 |
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