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DEATH
CERTIFICATE
CORDELIA WILLIAMS
Date 20 July 1942
Cert: 19057
Place of Death: County: Perry Co. City or Town:
Hazard, Ky.
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: (blank) County:
(blank)
City or Town: (blank)
Full Name: Cordelia WILLIAMS
If Veteran Name War: (blank)
Social Security No.: 404-14-8519
Sex, Color or Race, Marital Status: Female, Black, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 09 July
Age: 56 years
Birthplace: Knott Co.
Occupation: (blank)
Industry or business: (blank)
Father Name: Henry WILLIAMS
Father Birthplace: Knot Co.
Mother Maiden Name: Phev?a WILLIAMS
Mother Birthplace: Knot Co.
Informant: Vida WILLIAMS, Hazard, Ky.
Burial Place: Coda, Ky.
Date: 26 July 1942
Signature of funeral director: Maggard & Garrett, Hazard, Ky.
Date received by local registrar: 25 August 1942
Registrar's Signature: Anna Laura Boulos
Date of Death: 20 July 1942
I hereby certify that I attended deceased from June 1942 to 20
July 1942, that I last saw h-- alive on 20 July 1942, and that
death occurred on the date stated above at 10 p.m.
Immediate cause of death: Carcinoma of uterus
Duration: (blank)
Due to: Climasteria
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: Carlow B. Combs, M.D., Hazard
Date signed: 23 July 1942
Transcribed by Debbie Tamborski, 30 May 2010 |
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