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DEATH
CERTIFICATE
WILLIAM NOLEN
Date: 04 May 1949
Cert: 11462
Place of Death: County: Floyd City or Town:
Pyramid
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Pyramid Street Address: (blank)
Full Name: William NOLEN
Date of Death: 04 May 1949
Sex, Color or Race, Marital Status: Male, White, (blank)
Date of Birth: 1872
Age: 77 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Knott
Father's Name: Sam MOSLEY
Mother's Maiden Name: Anna NOLEN
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Julie A. COLE
Disease/condition directly leading to death: Cerebral
Hemorrhage
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: Senility
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 09 May 1949
Address: Prestonsburg, Ky.
Signature: M. T. Dotson, M.D.
Burial, Cremation or Removal: Burial
Date: 05 May 1949
Name of Cemetery or Crematory: Beech Floyd County
Location: Pyramid
Date received by local registrar: 20 June 1949
Registrar's Signature: Lucy Ransdell
Funeral director & address: E. P. Arnold,
Prestonsburg
Transcribed by Debbie Tamborski, 13 July 2010 |
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