Date: 11 July 1944
Cert: 13030
Place of Death: County: Knott City or
Town: Lackey, Ky.
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Decoy (Rural)
Full Name: William I. SHEPPARD
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Sylvania SHEPPARD
Age of husband or wife if alive: 55 years
Birth date of deceased: 04 October 1872
Age: 74 years, 09 months, 06 days
Birthplace: Knott Co.
Occupation: Farmer
Industry or business: (blank)
Father Name: Eli SHEPPARD
Father Birthplace: Floyd Co., Ky.
Mother Maiden Name: Louisa MORGAN
Mother Birthplace: Breathitt Co., Ky.
Informant: Decoy, Morgan SHEPPARD
Burial Place: Decoy Cemetery
Date: 13 July 1944
Signature of funeral director: Casket purchased from W.
J. Ryan, Martin, Ky.
Date received by local registrar: 19 March 1945
Registrar's Signature: Rose B. Craft Acting L. R. Per B.
Carns
Date of Death: 11 July 1944
I hereby certify that I attended deceased from 05 July 1944 to
15 July 1944, that I last saw him alive on 1944, and that
death occurred on the date stated above at 10 p.m.
Immediate cause of death: Abscess of (illegible) abdomen
Duration: (blank)
Due to: Septic infection
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: A. R. Hodge, M.D., Lackey, Ky.
Date signed: 19 March 1945
Transcribed by Debbie Tamborski, 22 November 2010 |