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DEATH
CERTIFICATE
WILLIAM RICHIE WHITAKER
Date 26 July 1945
Cert: 15747
Place of Death: County: Perry City or
Town: Hazard
Name of Hospital or Institution: Hazard Hospital Co.
Length of stay in hospital or community:
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural Street No.:
Anco, Ky.
Full Name: William Richie WHITAKER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: (blank)
Age: 19 years
Birthplace: Anco, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: George WHITAKER
Father Birthplace: Letcher County
Mother Maiden Name: Rose HENSON
Mother Birthplace: Manchester, Ky.
Informant: George WHITAKER, Anco., Ky.
Burial Place: Young Cemetery, Lotts Creek, Ky.
Date: 27 July 1945
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 06 August 1945
Registrar's Signature: Opsie J. Deaton
Date of Death: 26 July 1945
I hereby certify that I attended deceased from 26 July 1945 to
26 July 1945, that I
last saw him alive on 26 July 1945, and that death occurred on the date
stated above at (blank)
Immediate cause of death: Shot gun wound of face
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: accident
Date of occurrence: 26 July 1945
Where did injury occur: farm
While at work: no
Means of injury: hunting
Signature: Chris S. Jackson, M.D., Hazard, Ky.
Date signed: 30 July 1945
Transcribed by Debbie Tamborski, 09 February 2010 |
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