Date:   17 September 1941
Cert:   22637 
Place of Death: County: Knott  City or Town: Rural (Anco, Ky.)
Name of Hospital or Institution: none
Length of stay in hospital or community: 02 years
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Rural (Anco, Ky.)
Full Name:  Willie PERRY
If Veteran Name War: none
Social Security No.: none
Sex, Color or Race, Marital Status:  Female, Negro, Married
Husband or Wife of:  Howard PERRY
Age of husband or wife if alive:  46 years
Birth date of deceased:  05 December 1895
Age: 45 years, 09 months, 12 days
Birthplace:  Tuscaloosa, Ala.
Occupation:  House wife
Industry or business: Home
Father Name:  Josh RAYSTER
Father Birthplace:  Tuscaloosa, Ala.
Mother Maiden Name:  Lizzie SIMMONS
Mother Birthplace:  Tuscaloosa, Ala. 
Informant:  Howard PERRY, Anco, Ky.
Burial Place:  Tuscaloosa, Ala. 
Date:  20 September 1941
Signature of funeral director: Maggard & Garrett, Hazard, Ky.
Date received by local registrar:  30 September 1941
Registrar's Signature:  Phena Slone
Date of Death:  17 September 1941
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 4 p.m.
Immediate cause of death:  (blank)
Duration: (blank)
Due to: Tuberculosis of 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: J. R. Aker, M.D., Anco, Ky.
Date signed:  18 September 1941
Transcribed by Debbie Tamborski, 14 October 2010