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DEATH
CERTIFICATE
MABLE WADDLES
Date 08 July 1936
Cert: 18610
Place of Death: Voting Pct.: Beaver Valley Hosp.,
Martin, Floyd Co., Ky.
Full Name: Mable WADDLES
Residence: Midas, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Single
Husband or Wife of: (blank)
Date of Birth: 28 March 1913
Age: 23 years
Occupation: housework
Birthplace: Knott Co., Ky.
Father Name: W. M. WADDLES
Birthplace Father: Floyd Co., Ky.
Mother Maiden Name: Rosie SLONE
Birthplace Mother: Knott Co., Ky.
Informant/Address: W. M. WADDLES, Midas, Ky.
Burial Cremation Removal Place: Midas
Date: 09 July 1936
Undertaker/Address: Franklin W. Moore, Martin, Kentucky
Filed: 01 August 1936
Registrar: W. M. Griffith
Death of Date: 08 July 1936
I hereby certify, That I attended deceased from 05 July 1936 to
08 July 1936, that I last saw her alive on 08 July 1936, death
is said to have occurred on the date stated above, at 1:40
a.m.
Cause of Death: Gunshot wound and perforation colon.
Gen. peritonitis
Date of onset: 05 July 1936
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: Suicide
Date of Injury: 05 July 1936
Where did injury occur: Prestonsburg, Floyd Co., Ky.
Specify whether injury occurred industry, home, public place:
Home
Manner of injury: Gunshot wound
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: J. R. Allen, M.D., Martin, Ky.
Transcribed by Debbie Tamborski, 21 April 2010 |
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