DEATH CERTIFICATE

 JOHN RILEY WILLIAMS

Date:   06 April 1943
Cert:   15283 
Place of Death: County: Knott     City or Town: Red Fox
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky  County: Knott
City or Town:  Red Fox
Full Name:  John Riley WILLIAMS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, Black, Widowed
Husband or Wife of:  Viney WILLIAMS
Age of husband or wife if alive:  (blank)
Birth date of deceased:  unknown
Age: 81 years
Birthplace:  Red Fox, Kentucky
Occupation:  Day Laborer
Industry or business: (blank)
Father Name:  Phoeba WILLIAMS
Father Birthplace:  Kentucky
Mother Maiden Name:  Henry WILLIAMS
Mother Birthplace:  Kentucky
Informant:  Wesley BREEDING, Red Fox, Kentucky
Burial Place:  Breedings Creek
Date:  08 April 1943
Signature of funeral director: Friends, Red Fox
Date received by local registrar:  (blank)
Registrar's Signature:  (blank)
Date of Death:  06 April 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:  Influenza
Duration: (blank)
Due to: Old Age
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. W. Duke, M.D., Hindman
Date signed:  16 March 1945
Transcribed by Debbie Tamborski, 29 October 2010