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DEATH
CERTIFICATE
OKLEY TAYLOR
Date 23 November 1941
Cert: 29982
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: Letcher
City or Town: Whitesburg
Full Name: Okley TAYLOR
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Wm. TAYLOR
Age of husband or wife if alive: 45 years
Birth date of deceased: 05 March 1895
Age: 46 years, 08 months, 18 days
Birthplace: Knott County, Ky.
Occupation: Housewife
Industry or business: Home
Father Name: Elhanan DAVIDSON
Father Birthplace: Knott County, Ky.
Mother Maiden Name: Aurora B. PERKINS
Mother Birthplace: State of Virginia
Informant: Wm. TAYLOR, Whitesburg, Ky.
Burial Place: Carrie, Ky.
Date: 25 November 1941
Signature of funeral director: Maggard Garrett, Hazard, Ky.
Date received by local registrar: 10 December 1941
Registrar's Signature: Anna Laura (illegible)
Date of Death: 23 November 1941
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw her alive on (blank), and that death
occurred on the date stated above at 6 a.m.
Immediate cause of death: Diffuse peritonitis
Duration: 01 weeks
Due to: Ruptured appendix
Duration: 01 weeks
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Chris S. Jackson, M.D., Hazard,
Ky.
Date signed: 12 December 1941
Transcribed by Debbie Tamborski, 15 May 2010 |
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