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DEATH
CERTIFICATE
LOREN WOLVERTON
Date 13 February 1939
Cert: 7682
Name: Loren WOLVERTON
Place of Death: Voting Pct. Lower Jones Fork #19, Lackey,
Stumbo Memorial Hospital, Knott Co., KY
Residence: Lackey, Ky.
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 26 March 1922
Age: 16 years, 10 months, 18 days
Occupation: School boy
Place of Birth: Illinois
Name of Father: James WOLVERTON
Birthplace Father: Illinois
Maiden Name of Mother: Armanda THOMAS
Birthplace Mother: Tenn.
Informant: Elvar WOLVERTON, Lackey, Ky.
Death Date: 13 February 1939
Cause of Death: Compound fracture tibia & fibula femer rt.,
fracture left femur
Name of Operation: Amputation rt. leg
Accident, Suicide or Homicide: Accident
Specify where occurred: Lackey, Ky., public place
Nature of injury: Truck collided with bicycle
Signed: L. H. Parr, M.D., Lackey, Ky.
Burial Place: Martin, Ky.
Date of Burial: 14 March 1939 (transcribed as written)
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 05 April 1939
Registrar: Rushionna Blair
Transcribed by Debbie Tamborski, 21 November 2009 |
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