Chambers County AlArchives Photo Document.....Waldrop, Hoyt Death Certificate September 22, 1961
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File contributed for use in USGenWeb Archives by:
Debra Crosby http://www.genrecords.net/emailregistry/vols/00010.html#0002467 January 5, 2012, 8:51 am

Source:             Center Of Heath Statistics, State Of Alabama, Department Of Public Health
Photo can be seen at:
http://www.usgwarchives.net/al/chambers/photos/documents/waldroph11128gph.jpg
Image file size: 186.2 Kb

Certificate Number 18917

1. Place of Death: a. County Chambers Beat No. 13
b. City Town or Location: Langdale
c. Is Place of Death inside city limits? Yes
d. Name of Hospital or Institution: Lanier Mem. Hosp.
e. Length of Stay: 6 days
2. Usual Residence: 
a. State: Alabama, b. County: Chambers 
c. City, Town, or Location: Fairfax
d. Street Address: 305 Combs St. 
e. Is Residence inside city limits? Yes 
    On a farm? No
3. First: Hoyt Middle: Lumas Last: Waldroup (Waldrop is correct spelling)
4. Date of Death: Sept 22, 1961
5. Sex: Male
6. Color or Race: White
7. Married
8. Date of birth: April 30, 1908 
9. Age (in years last birthday) 53
10a. Occupation: Textile 
10b. Kind of business: Cotton Mill
11. Birthplace: Clay Co. Ala
12. Citizen of what country: field left blank
13. Fathers name: Milton Waldroup
14. Mother Maiden name: Ava Pierce (correct name is Avie Cornelia Pearson)
14a. Name of Surviving Spouse: Josie Cleone Fuller Waldroup (Waldrop)
15. Was deceased ever in US Armed Forces? Yes, World War II
16. Social Security No. 417-05-8976
17. Informant: Mrs. Hoyt L. Waldroup (Waldrop) Fairfax, Ala
18. Cause of Death: Massive Cerebral hemorrhage Due to Fracture Skull
Interval between onset and death 6 days
19. Was autopsy performed: No
20a. Accident
20b. Auto Accident Highway 25 below Fairfax Ala
20c. Time of Injury 12:45pm Collision 2 cars
20d. Injury Occurred: Not while at work
20e. Place of injury: Hyhway 29
20f. City Town or Location: Chambers County Alabama
21. I attended the deceased from: Sept 16, to Sept 22 and last saw him alive on 
Sept 22 Death occurred at 11 A.M. 
22a. Signature: S. C. Simmons MD
22b. Address: Langdale
22c. Date signed: 9/28/61
23a. Burial, Cremation, Removal: Burial
23b. Date: 9/23/61
23c. Name of Cemetery: Fairfax
23d. Location: Fairfax Ala (Fairfax was later incorporated into "Valley" 
Alabama)
24. Funeral Director: Johnston  Address: Langdale
25. Dat recd by Local Reg.: 9-30-61
26. Registrar's Signature:  Mrs. Marvin Crosby

File at: http://files.usgwarchives.net/al/chambers/photos/documents/waldroph11128gph.txt

This file has been created by a form at http://www.genrecords.org/alfiles/

File size: 2.8 Kb