DEATH CERTIFICATE

CLAT FRANCIS WILLIAMS

Date:  05 September 1950
Cert:  18769 
Place of Death: County: Knott      City or Town: Dema
Length of stay (in this place): (blank)
Street address or location:  Dema, Ky.
Usual Residence of Deceased: State: Tenn.     County: Carter
City or Town: Elizabethton     Street Address: R.R. #1
Full Name:  Clat Francis WILLIAMS
Date of Death:  05 September 1950
Sex, Color or Race, Marital Status:  Male, White, Married
Date of Birth:  1904
Age:  46 years 
Usual Occupation: Forman
Kind of Industry or business: Rayon Factory
Birthplace:  Tenn.
Father's Name:  Nat WILLIAMS
Mother's Maiden Name:  Josie HENDRICK
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant:  Alpha WILLIAMS
Disease/condition directly leading to death: Coronary Occlusion
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 05 September 1950 to 05 September 1950, that I last saw the deceased alive on (blank), and that death occurred at 2:30 a.m., from the causes and on the date stated above.
Date signed:  06 September 1950
Address:  Lackey, Ky.
Signature:  C. M. Aker, M.D.
Burial, Cremation or Removal:  Burial
Date:  08 September 1950
Name of Cemetery or Crematory:  Family
Location:  Elizabethton, Tenn.
Date received by local registrar: 06 September 1950
Registrar's Signature:  Mrs. Rose B. Craft
Funeral director & address:  Ryan Funeral Home, Martin, Ky.
Transcribed by Debbie Tamborski, 17 January 2011