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NORTH CAROLINA STATE BOARD OF
HEALTH BUREAU OF VITAL STATISTICS
CERTIFICATE OF DEATH
BERNICE WADDLES
Date: 23 June 1950
Cert: 12869
Place of Death: County: Cumberland
City or Town: Rural Seventy-first
Length of stay (in this place): 13 years
Street Address or location: Fayetteville, Rt. #3
Usual Residence of Deceased: State: N.C. County: Cumberland
City or Town: Rural Seventy-first
Street Address: Fayetteville, Rt. #3
Full Name: Bernice WADDLES
Date of Death: 23 June 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 20 April 1900
Age: 50 years
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace: Hindman, Ky.
Father's Name: Thomas WADDLES
Mother's Maiden Name: Ritter WADDLES
Was deceased ever in armed forces: WW II
Social Security No.: Ukn.
Informant: Mrs. Anna Mae WADDLES, Fayetteville
Disease or condition directly leading to death:
Pulmonary Tuberculosis
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from June 1949 to 23
June 1950, that I last saw the deceased alive on 20 January
1950, and
that death occurred at 10 p.m., from the causes and on the
date stated above.
Signature: Desmonroe, M.D.
Address: Fayetteville, N.C.
Date signed: 24 June 1950
Burial, Cremation or Removal: Removal
Date: 24 June 1950
Name of Cemetery or Crematory: (blank)
Location: Hindman, Ky.
Date received by local registrar: 27 June 1950
Registrar's Signature: M. T. Foster
Funeral director & address: Jernigan Funeral Home,
Fayetteville
Transcribed by Debbie Tamborski, 21 July 2010 |
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