DEATH CERTIFICATE

JOHN WILEY JORDON, JR.

Date 04 October 1934
Cert:  25716
Name:  John Wiley JORDON, JR.
Place of Death: Voting Pct. Hindman, Knott Co., KY
Residence:  Louisa, Ky.
Length of residence: passing through
Male, White, Single
Husband or Wife of:  S
Birth Date:  19 September 1915
Age: 19 years, 15 days
Occupation:  Surveyor with goverment
Place of Birth:  Alabama
Name of Father:  John Wiley JORDON
Birthplace Father:  Do not know
Maiden Name of Mother:  "
Birthplace Mother:        "
Informant: Manuel A. HERBERT, Wash., D.C. U.S.C. & G.S.         
Death Date: 04 October 1934
Cause of Death:  Automobile accident
Signed:  M. F. Kelly, M.D., Hindman, Ky.
Burial Place: Tuscalloosa, Ala.
Date of Burial:  08 October 1934
Undertaker:  H. Engle, Hazard, Ky.
File Date:  05 October 1934
Transcribed by Debbie Tamborski, 22 July 2009