DEATH CERTIFICATE

 WOODROE REYNOLDS

Date:   02 January 1942
Cert:   07074 
Place of Death: County: Knott     City or Town: Raven
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Raven
Full Name:  Woodroe REYNOLDS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Margaret REYNOLDS
Age of husband or wife if alive:  49 years
Birth date of deceased:  18 November 1913
Age: 28 years, 01 months, 15 days
Birthplace:  Hindman, Knott Co., Ky.
Occupation:  Miner
Industry or business: Coal
Father Name:  William REYNOLDS
Father Birthplace:  Ky., Knott Co.
Mother Maiden Name:  Frankie Jane SLONE
Mother Birthplace:  Pippapass, Knott Co., Ky.
Informant:  Elijah OWENS, Pippapass, Ky.
Burial Place:  Raven
Date:  03 January 1942
Signature of funeral director: Elijah Owens, Pippapass, Ky.
Date received by local registrar:  (blank)
Registrar's Signature:  (blank)
Date of Death:  02 January 1942
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 4:30 p.m.
Immediate cause of death:  Homicide Shotgun wounds in neck, chest & side
Duration: (blank)
Due to: no Doctor was called
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, 18 October 2010