HomeMy WebLinkAbout1050 .
~
i
f y CERTIFICATIUN OF DEATH
~
~ State o! West Virginia,
~ ~ County of Fayette. as:
I, MR4. I.ACY NEELY. Clerk of the County Court oi Fsyette County. West Virginin. hereby certify
J~
that the iollowing is a true copy from the records oi my oiiice:
Vame in iull ----Srh~'les ~hitle~ Wbite~ IOts~. male~ S~iR
Date oi Death ______September 12 1960______ p~ace oi Death __~~k_Hill
~ Name oi diaease or cause of death Corvnar~ Occlus iotL ~
~ Age Z___ years, months, daya, Occupstion Ret Miner
~
t
Married, Si~]~~i~tDds~cAR~dai~r
~ame of person giving information J B Tho:npsoli
~
~ ~
~
~ - ~
~ E In T ~ sv,~` I hsve hereunto aet my hand and sesl oi aai~ Court at Fayetteville, West Virginia~
s;t~ I
this _ !.J~ ~ ~ ~ ul 19__~~_.
' ~w '
~ - . ,.,i +.r,:
I
E C,~'~~~~=~Y,~~! s~.
` : i3 ~2?= I
J;-~,• tr~;,~-~C~ACY NEELY, Clerk I
: 4 ~ •L i i ~ .
` • :i ~1 S'
; .i~,~. ~'tt ' B P~~~ty
- ~ .aj~ ~~yl~~.'`4i j:;~~
~~4i ~
y ' ~ ~~~~~~tf_ ~~~}r~'~ ;.f;j~. / i
r ~
J,~;'s``a, f-~.,''^
- ; ~ . ~ " s0~1$? ~ct1U~
~
. ~-.~:,e.~--._
- ~ . . . ..Y ~ '.r ~ .
~~y~~~~y3': . -