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DEATH
CERTIFICATE
DOLLA WALKER
Date: 14 November 1945
Cert: 24357
Place of Death: County: Perry City or Town:
Walker Branch
Street No. or Location: Home
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Walker Branch
Full Name: Dolla WALKER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Rosco WALKER
Age of husband or wife if alive: 11 December 1896 (48
years)
Birth date of deceased: 24 April 1903
Age: 42 years, 06 months, 10 days
Birthplace: Knott Co.
Occupation: House wife
Industry or business: (blank)
Father Name: Doc SLONE
Father Birthplace: Ky.
Mother Maiden Name: Rena SLONE
Mother Birthplace: Ky.
Informant: Rosco WALKER, Walker Branch
Burial Place: Walkers Branch
Date: 18 November 1945
Signature of funeral director: Wm. J. Engle, Jr., Hazard, Ky.
Date received by local registrar: 29 November 1945
Registrar's Signature: Opsie J. Deaton
Date of Death: 14 November 1945
I hereby certify that I attended deceased from 01 November
1945 to
14 November 1945, that I last saw him alive on 12 November
1945, and that death occurred on the date stated above at 1
a.m.
Immediate cause of death: Carcinoma of liver
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: Home
While at work: (blank)
Means of injury: (blank)
Signature & Address: Dr. C. (illegible) Combs, M.D.,
Hazard
Date signed: 17 November 1945
Transcribed by Debbie Tamborski, 06 June 2010 |
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