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DEATH
CERTIFICATE
DAVE WILEY
Date 12 January 1938
Cert: Duplicate #20223 Original
#7224
Name: Dave WILEY
Place of Death: Voting Pct. Lower Jones Fork #19, Stumbo Mem.
Hosp., Lackey, Knott Co., KY
Residence: Estill, Ky.
Length of residence: (blank)
Male, White, Married
Husband or Wife of: Virgie WILEY
Birth Date: (blank)
Age: 55 years
Occupation: Miner
Place of Birth: Johnson Co., Ky.
Name of Father: J. M. WILEY
Birthplace Father: Johnson Co., Ky.
Maiden Name of Mother: Mandie BORWN
Birthplace Mother: Johnson Co., Ky.
Informant: Merida WILEY, Shelby, Ky.
Death Date: 12 January 1938
Cause of Death: Chronic nephritis
Signed: Philip Bress, M.D., Lackey, Ky.
Burial Place: Wiley Cem.
Date of Burial: 14 January 1937 (transcribed as written)
Undertaker: G. D. Ryan, Martin, Ky.
File Date: August 1938
Registrar: G. C. Collins per B. Carns
Transcribed by Debbie Tamborski, 02 November 2009 |
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