Date: 26 April 1943
Cert: 15301
Place of Death: N. African area
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: (blank)
County: (blank)
City or Town: (blank)
Full Name: Commadore James W. REYNOLDS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 20 December 1919
Age: 23 years, 04 months, 06 days
Birthplace: Knott Co., Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: W. M. H. REYNOLDS
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Frankie J. SLONE
Mother Birthplace: Knott Co., Ky.
Informant: Frankie J. REYNOLDS, Pippapass, Ky.
Burial Place: (blank)
Date: April 1943
Signature of funeral director: Unknown
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 26 April 1943
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 (blank)
Immediate cause of death: Killed in action in N. Africa
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: (blank)
Date signed: (blank)
Transcribed by Debbie Tamborski, 25 October 2010 |