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DEATH
CERTIFICATE
BELLE WALLEN
Date 14 June 1937
Cert: 15719
Place of Death: Voting Pct.: Beaver Valley Hosp.,
Martin, Floyd Co., Ky.
Full Name: Belle WALLEN
Residence: Lackey, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Elige WALLEN
Date of Birth: not known
Age: 54 years
Occupation: Housework
Birthplace: Knott Co., Ky.
Father Name: Quin COMBS
Birthplace Father: Knott Co., Ky.
Mother Maiden Name: Polly FRANKLIN
Birthplace Mother: Knott Co., Ky.
Informant/Address: Elige WALLEN, Lackey, Ky.
Burial Cremation Removal Place: (illegible)
Date: (illegible) 1937
Undertaker/Address: E. P. Arnold, Prestonsburg, Ky.
Filed: 14 June 1937
Registrar: W. M. Griffith
Death of Date: 14 June 1937
I hereby certify, That I attended deceased from 25 March 1937 to
(illegible) June 1937, that I last saw her alive on (illegible)
1937, death is said to have occurred on the date stated above,
at 5:00 p.m.
Cause of Death: Cancer, cervix
Date of onset: 1936
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: J. R. Allen, M.D., Martin, Ky.
Transcribed by Debbie Tamborski, 22 April 2010 |
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