DEATH CERTIFICATE

WILLIAM B. SHEPHERD

Date  10 November 1946
Cert:  27342
Place of Death: County: Perry     City or Town:  Hazard, Ky.
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:   Rinda SHEPHERD
Age of husband or wife if alive:  (blank) 
Birth date of deceased:  13 July 1896 
Age:  50 years, 03 months, 27 days
Birthplace:  Vest, Ky. 
Occupation:  Farmer 
Industry or business:  (blank)
Father Name:  David 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:  04 December 1946 
Registrar's Signature:  Opsie 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 (illegible) burns 1/2 to 1/3 (illegible) Face, chest arms
Major findings of operations: (blank)
Accident, suicide, or homicide:  accident
Date of occurrence:  09 November 1:30 a.m. 
Where did injury occur:  House
While at work:  no
Means of injury:  House burned
Signature:   J. M. Ray, M.D., Hazard, Ky.
Date signed:  04 December 1946 
Transcribed by Debbie Tamborski, 10 February 2010