DEATH CERTIFICATE

 GEORGE WHITE

Date:   11 May 1943
Cert:   15257 
Place of Death: County: Knott     City or Town: Wiscoal (Rural)
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:  Jeff    (Rural)
Full Name:  George WHITE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  (blank)
Age: 72 years
Birthplace: (blank)
Occupation:  (blank)
Industry or business: (blank)
Father Name: (blank)
Father Birthplace:  (blank)
Mother Maiden Name:  (blank)
Mother Birthplace:  (blank)
Informant:  Dr. J. R. AKERS, Anco, Ky.
Burial Place:  (blank)
Date:  (blank)
Signature of funeral director: Casket purchased from Engles, Hazard, Ky.
Date received by local registrar:  26 March 1945
Registrar's Signature:  Mrs. Rose B. Craft acting Per B. Carns
Date of Death:  11 May 1943
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Chronic Nephritis
Duration: (blank)
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 & Address: J. R. Akers, M.D., Anco, Ky.
Date signed:  26 March 1945
Transcribed by Debbie Tamborski, 29 October 2010