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DEATH
CERTIFICATE
WILLIAM B. SHEPHERD
Date 10 November 1946
Cert: 27340
Place of Death: County: Perry City or
Town: Hazard
Name of Hospital or Institution: Hazard Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Tina
Full Name: William B. SHEPHERD
If Veteran Name War: World War I
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Renda SHEPHERD
Age of husband or wife if alive: (blank)
Birth date of deceased: 1896
Age: 50 years
Birthplace: Vest, Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: Dave SHEPHERD
Father Birthplace: Vest, Ky.
Mother Maiden Name: Orma RICHIE
Mother Birthplace: Vest, Ky.
Informant: Willie WALTERS, Hardburley, Ky.
Burial Place: Tina, Cem.
Date: 11 November 1946
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 18 December 1946
Registrar's Signature: O. J. Deaton by
Helen Burris, Deputy Registrar
Date of Death: 10 November 1946
I hereby certify that I attended deceased from 09 November
1946 to
10 November 1946, that I
last saw him alive on 10 November 1946, and that death occurred on the date
stated above at 4:30 a.m.
Immediate cause of death: Uremia & shock
Due to: 2 degree & 3 degree burns (illegible) face,
chest & arm
Major findings of operations: non
Accident, suicide, or homicide: accident
Date of occurrence: 1:30 a.m. (illegible)
Where did injury occur: Home
While at work: House burned
Means of injury: (illegible) fire
Signature: J. M. (illegible), M.D., Hazard
Date signed: (illegible)
Transcribed by Debbie Tamborski, 10 February 2010 |
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