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DEATH
CERTIFICATE
BUG PIGMON WILLS
Date 29 September 1939
Cert: 24662
Place of Death: County: Floyd City or
Town: Prestonsburg
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County: Floyd
City or Town: Prestonsburg
Full Name: Bug PIGMON WILLS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widow
Husband or Wife of: Henry WILLS
Age of husband or wife if alive: ?
Birth date of deceased: 09 January 1874
Age: 65 years, 08 months, 20 days
Birthplace: Knott Co.
Occupation: housewife
Industry or business: at home
Father Name: Doc PIGMON
Father Birthplace: Ky.
Mother Maiden Name: Rachael CALHOUN
Mother Birthplace: Floyd Co.
Informant: Bill WILLS, Prestonsburg, Ky.
Burial Place: Water Gap, Ky.
Date: 30 September 1939
Signature of funeral director: E. P. Arnold, Prestonsburg, Ky.
Date received by local registrar: 04 October 1939
Registrar's Signature: Mrs. Ben Norris
Date of Death: 29 September 1939
I hereby certify that I attended deceased from 01 January 1937
to 29 September 1939, that I last saw her alive on 24
September 1939, and that death occurred on the date stated
above at (blank)
Immediate cause of death: Myocarditis
Duration: 06 months
Other conditions: Eczema, Pellagra
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: A .J. Davidson, M.D., Prestonsburg, Ky.
Date signed: 04 October 1939
Transcribed by Debbie Tamborski, 05 May 2010 |
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