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DEATH
CERTIFICATE
VIOLA MILLER
Date: 20 December 1946
Cert: 16506
Place of Death: County: Perry City or Town:
Bulan
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Bulan
Full Name: Viola (Williams crossed out) MILLER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Maried
Husband or Wife of: Cecil WILLIAMS
Age of husband or wife if alive: 39 years
Birth date of deceased: 05 March 1908
Age: 38 years, 09 months, 15 days
Birthplace: Knott Co., Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: Boyd HALE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Farline MULLINS
Mother Birthplace: Knott Co., Ky.
Informant: Cecil MILLER, Bulan, Ky.
Burial Place: Decoy, Ky.
Date: 22 December 1945
Signature of funeral director: Maggard & Blair, Hazard, Ky.
Date received by local registrar: 08 January 1947
Registrar's Signature: Pearl G. Combs
Date of Death: 20 December 1946
I hereby certify that I attended deceased from January 1945 to
20 December 1945, that I last saw him alive on (blank), and
that death occurred on the date stated above at 9:30 a.m.
Immediate cause of death: Toxemia & Respiratory failure
Duration: 02 years
Due to: Carcinoma primary of cervix &
metastatis (illegible) Bladder
& lungs
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: Paul W. Gutschs, M.D., Hazard,
Ky.
Date signed: 08 January 1947
Transcribed by Debbie Tamborski, 06 June 2010 |
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