DEATH CERTIFICATE

CICERO WALLEN

Date:  07 June 1952
Cert:  12857
Place of Death: County: Knott     City or Town:  Rural
Street Number or Location:  On Bear Fork at home
Length of stay in hospital or community: Hospital 14 days In Community all life
Usual Residence of Deceased: State: Kentucky  County: Knott
City or Town: Rural     If rural give precinct:  Ball Branch
Full Name:  Cicero WALLEN
If Veteran Name War: (blank)
Social Security No.: 403-14-6867
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Martha
Age of husband or wife if alive: 63 years
Birth date of deceased:  21 May 1879
Age: 73 years, 17 days
Birthplace:  Mousie, Ky., Knott Co.
Occupation:  Farming
Industry or business: Self
Father Name:  (blank)
Father Birthplace:  (blank)
Mother Maiden Name:  Nancy WALLEN
Mother Birthplace:  Kentucky
Informant:  Woots WALLEN, Glo, Ky.
Burial Place:  Ball Branch
Date:  08 June 1952
Signature of funeral director: Woots Wallen, Glo, Ky.
Date received by local registrar:  28 June 1952
Registrar's Signature:  Mrs. Rose B. Craft
Date of Death:  07 June 1952
I hereby certify that I attended deceased from 23 January 1952 to 23 January 1952, that I last saw him alive on 23 January 1952, and that death occurred on the date stated above at 3 a.m.
Immediate cause of death:  Paralysis
Duration: 04 months, 14 days
Due to: Clot on brain
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address:  Mark Dempsey, Garrett, Ky.
Date signed:  07 June 1952
Transcribed by Debbie Tamborski, 28 January 2011