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DEATH CERTIFICATE OF
Filed: June 29, 1932JAMES V. WALKER Union County Illinois Genealogy Trails Contributed by Teresa Holcomb STANDARD CERTIFICATE OF DEATH Village #5 Primary Dist. No. 7860 Registered No. 152 If death occurred in a hospital or institution, give the NAME: Anna State Hospital Full Name:
James V. Walker
Mound
City, Il.
PERSONAL AND STATISTICAL PARTICULARS Sex: Male Color or Race: White Single, Married, Widowed or Divorced: Widowed Husband of or Wife of: Stella Walker Date of Birth: Aug. 25, 1847 Age: 84 years, 10 months, 4 days. Occupation: Farmer Birthplace: Rowan County, North Carolina Father's Name: Michael P. Walker Birthplace: North Carolina Mother's Maiden Name: Sarah Garner Birthplace: North Carolina Informant: Agnes E. Koste Anna, Illinois PLACE OF BURIAL Cemetery: Dongola I. O.O.F Date: June 29, 1932 Location: Dongola County: Union State: Illinois Undertaker: Cecil Norris Jonesboro, Ill. MEDICAL CERTIFICATE OF DEATH Date of Death: 6-29-193- I hereby certify that I attended deceased from 6-27-1932 to 6-29-1932. I last saw him alive on 6-28-1932; death is said to have occurred on the date stated above, at 12:45 a.m. The principal cause of death and related causes of importance were as follows: General Arteriosclorosis Other contributory causes of importance: Chronic Myocarditis Was an operation performed? No Was there an autopsy? No What test confirmed diagnosis: Clinical Oberservation Signed: Edw G. Deavies, M. D. Address: Anna, Illinois Date 6-29-1932. Registrar: C. P. Watson Anna, Ill. |