Date: 23 September 1943
Cert: 15288
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Wayland
Full Name: Bill MILLER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Percy MILLER
Age of husband or wife if alive: 33 years
Birth date of deceased: 20 October 1902
Age: 40 years, 11 months, 03 days
Birthplace: Lawrence Co., KY.
Occupation: Mine machine man
Industry or business: (blank)
Father Name: Henry MILLER
Father Birthplace: Lawrence Co., Ky.
Mother Maiden Name: Kealie MEADE
Mother Birthplace: Lawrence Co., Ky.
Informant: Percy MILLER, Wayland, Ky.
Burial Place: East Point, Ky.
Date: 25 September 1943
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 27 March 1945
Registrar's Signature: (blank) Per B. Carns
Date of Death: 23 September 1943
I hereby certify that I attended deceased from 05 September
1943 to
23 September 1943, that I last saw him alive on 23 September
1943, and that death occurred on the date stated above at 1:30
p.m.
Immediate cause of death: G. S. Wd. of abdomen
Duration: (blank)
Due to: Hemorrhage abdominal
Major findings of operations: (blank)
Accident, suicide, or homicide: Homicide
Date of occurrence: 05 September 1943
Where did injury occur: Public Place, Glo, Ky.
While at work: No
Means of injury: Gunshot wound
Signature & Address: (illegible) Hodge, M.D., Lackey,
Ky.
Date signed: 27 March 1945
Transcribed by Debbie Tamborski, 25 October 2010 |