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DEATH
CERTIFICATE
HENRY CLAY OLIVER
Date: 06 September 1946
Cert: 22713
Place of Death: County: Pike City or Town:
Pikeville, Ky.
Name of Hospital or Institution: Methodist Hospital
Length of stay in hospital or community: 02 Weeks
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Wheelwright, Ky.
Full Name: Henry Clay OLIVER
If Veteran Name War: None
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Linda OLIVER
Age of husband or wife if alive: 52 years
Birth date of deceased: 14 September 1889
Age: 56 years, 11 months, 24 days
Birthplace: Knott Co.
Occupation: Butcher & clerk
Industry or business: (blank)
Father Name: Ira OLIVER
Father Birthplace: Breathitt Co.
Mother Maiden Name: Elizabeth BRADLEY
Mother Birthplace: Knott Co.
Informant: Margaret (?Stermenl?) 283 Paul G?? Blvd.,
Detroit, Mich.
Burial Place: Jack Creek
Date: 11 September 1946
Signature of funeral director: Lloyd H. Preston, Pikeville,
Ky.
Date received by local registrar: 09 October 1946
Registrar's Signature: Lucille Pruitt
Date of Death: 06 September 1946
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 2 p.m.
Immediate cause of death: Diabetes
Duration: (blank)
Due to: (blank)
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: Charles F. Nelson, M.D.
Date signed: (blank)
Transcribed by Debbie Tamborski, 10 June 2010 |
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