Date: 16 February 1945
Cert: 03960
Place of Death: County: Knott City or
Town: Sassafras Rural
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: Sassafras, Ky.
Street No.: Rural
Full Name: Wilma Gene SORRELLS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 02 February 1945
Age: 14 days
Birthplace: Sassafras, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Ben SORRELLS
Father Birthplace: Ala.
Mother Maiden Name: Canna BANKS
Mother Birthplace: Letcher Co., Ky.
Informant: Ben SORRELLS, Sassafras, Ky.
Burial Place: Cornett Hill
Date: 17 February 1945
Signature of funeral director: Maggard, Hazard, Ky.
Date received by local registrar: 20 February 1944
(transcribed as written)
Registrar's Signature: Ida Livingston Rose B. Craft
Acting L. R.
Date of Death: 16 February 1945
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 8:30 a.m.
Immediate cause of death: Acute meningitis
Duration: 03 days
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: H. P. Duff, M.D., Kodak, Ky.
Date signed: 20 February 1945
Transcribed by Debbie Tamborski, 30 November 2010 |