DEATH
CERTIFICATE
WILLIAM L. NOE
Date 10 August 1944
Cert: Original #17988
Place of Death: County: Floyd City or
Town: Martin
Name of Hospital or Institution: Martin Gen. Hospital
Length of stay in hospital or community:
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Mousie
Full Name: William L. NOE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Belle NOE
Age of husband or wife if alive: 73
Birth date of deceased: 20 December 1867
Age: 76 years, 07 months, 27 days
Birthplace: Roane Co., WVa.
Occupation: (blank)
Industry or business: (blank)
Father Name: Samuel NOE
Father Birthplace: WVa.
Mother Maiden Name: Emily STUMP
Mother Birthplace: WVa.
Informant: Belle NOE, Mousie, Ky.
Burial Place: Raven, Ky.
Date: 13 August 1944
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 04 September 1944
Registrar's Signature: Winifred Norris
Date of Death: 10 August 1944
I hereby certify that I attended deceased from 05 August 1944 to
10 August 1944, that I
last saw him alive on 10 August 1944, and that death occurred on the date
stated above at 11:00 p.m.
Immediate cause of death: (blank)
Due to: Cerebral hemorrhage rt. (illegible)
Other Conditions: Hypertension
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: C. L. Allen, M.D., Martin, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 08 February 2010 |
|