Date: 21 October 1943
Cert: 15289
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Mem. Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Garrett
Full Name: William Cleve ISABELL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Roma ISABELL
Age of husband or wife if alive: 47 years
Birth date of deceased: 02 October 1885
Age: 58 years, 00 months, 19 days
Birthplace: Leeds, Alabama
Occupation: Miner
Industry or business: (blank)
Father Name: Steve ISABELL
Father Birthplace: Leeds, Alabama
Mother Maiden Name: Virginia LANGLEY
Mother Birthplace: Leeds, Alabama
Informant: Roma ISABELL, Garrett, Ky.
Burial Place: Fish Trap, Ky.
Date: 23 October 1943
Signature of funeral director: E. P. Arnold, Prestonsburg, Ky.
Date received by local registrar: 21 March 1945
Registrar's Signature: (blank) per B. Carns
Date of Death: 21 October 1943
I hereby certify that I attended deceased from (blank) to
21 October 1943, that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Hypertensive Renal Disease
Duration: (blank)
Due to: This patient was treated by Dr. Chitwood, Stumbo
Memorial Hospital, Lackey, Ky.
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: (illegible) Hodge, M.D., Lackey,
Ky.
Date signed: 21 March 1945
Transcribed by Debbie Tamborski, 25 October 2010 |