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DEATH
CERTIFICATE
GRACIE WILKS
Date 27 March 1941
Cert: 08060
Place of Death: County: Lawrence City or Town:
Irad, Ky.
Street No. or Location: (blank)
Length of stay in hospital or community: 09 years
Usual Residence of Deceased: State: Ky. County: Lawrence
City or Town: Irad, Ky. Rural
Precinct: Twin Branch
Full Name: Gracie WILKS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Dan WILKS
Age of husband or wife if alive: 29 years
Birth date of deceased: 03 October 1918
Age: 22 years, 04 months, 04 days
Birthplace: Knott Co., Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: George WICKER
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Melissa TRIPLETT
Mother Birthplace: Greenup Co., Ky.
Informant: Ren BERRY, Irad, Ky.
Burial Place: Wilks Cem.
Date: 29 March 1941
Signature of funeral director: Family
Date received by local registrar: 27 March 1941
Registrar's Signature: Virginia See
Date of Death: 27 March 1941
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 4:10 a.m.
Immediate cause of death: I did not attend her but after
investigation it appears that the probably cause of death was
Chronic Myocarditis
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: Don E. Welden, M.D., Grayson,
Ky.
Date signed: 27 March 1941
Transcribed by Debbie Tamborski, 21 May 2010 |
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