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DEATH
CERTIFICATE
C. W. WALLS
Date 13 March 1946
Cert: 08532
Place of Death: County: Floyd City or
Town: Wayland
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Lackey, Ky.
Full Name: C. W. WALLS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, (illegible)
Husband or Wife of: Almedia WALLS
Age of husband or wife if alive: (illegible)
Birth date of deceased: (illegible) February 1872
Age: 73 years
Birthplace: Satville, Va.
Occupation: (blank)
Industry or business: coal mines
Father Name: Robert WALLS
Father Birthplace: Don't know
Mother Maiden Name: Don't know
Mother Birthplace:
" "
Informant: Henry L. WALLS, Wayland, Ky.
Burial Place: Jeff, Ky.
Date: 14 March 1946
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 29 April 1946
Registrar's Signature: Lucy Ramsdell
Date of Death: 13 March 1946
I hereby certify that I attended deceased from 13 March 1946 to
13 March 1946, that I
last saw him alive on 13 March 1946, and that death occurred on the date
stated above at 5:20 p.m.
Immediate cause of death: Coronary Thrombosis
Due to: (blank)
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: M. V. Wicker, M.D., Wayland, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 12 February 2010 |
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