|
DEATH
CERTIFICATE
RUFUS ARNOLD WILLIAMS
Date: 23 July 1943
Cert: 19006
Place of Death: County: Perry City or Town:
Hazard, Ky.
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Hazard, Ky.
Full Name: Rufus Arnold WILLIAMS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, Colored, Married
Husband or Wife of: Cara
Age of husband or wife if alive: (blank)
Birth date of deceased: 06 January 1912
Age: 33 years, 06 months, 17 days
Birthplace: Knott Co.
Occupation: Miner
Industry or business: (blank)
Father Name: F. F. HAGANS
Father Birthplace: Knott Co.
Mother Maiden Name: L. Cardilia WILLIAMS
Mother Birthplace: Knott Co.
Informant: (blank)
Burial Place: Breeding Creek
Date: 24 July 1943
Signature funeral director: Maggard Funeral Home, Hazard, Ky.
Date received by local registrar: 30 July 1943
Registrar's Signature: Anna Laura Boulos
Date of Death: 23 July 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: Gunshot wound in back
Duration: Inst.
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Homicide
Date of occurrence: 23 July 1943
Where did injury occur: Near home
While at work: No
Means of injury: Gunshot
Signature & Address: Ed. H. Ivey,
Coroner, P.C. Co., Hazard, Ky.
Date signed: 31 July 1943
Transcribed by Debbie Tamborski, 02 June 2010 |
|