Burke County, NC - Vitals - William Alexander Fowler, 1945

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Death Certificate for William Alexander Fowler

North Carolina Board of Health   
Bureau of Vital Statistics
Certificate of Death  
Registration Dist. No. 12-01  
Certificate No. 19

1. Place of Death  a.  County   Burke  b. Township  Icard
c. City or Town  Connelly Springs NC   Rt#2
2. Home  a. State   NC  b. County  Burke   c. City or Town   
Connelly Springs NC
d.  Street or R.F.D.   Rt.#2
3. a. Full Name   William Alexander Fowler
4. Sex  M   5. Color or Race   W   6. Widowed
6. b. Name of husband or wife    Dessie A. Cook
7. Birth Date of Deceased   March 16, 1855
8. Age   90 years  7 months  
9. Birthplace   Burke County           
10.  Usual Occupation     Farmer
Father/Mother
12. Name   Garoid Fowler
14. Maiden Name   Martha Bailey   15.  Birthplace   Burke Co.
16. a. Informant's signature   Miss Mary Fowler
b. Address   Connelly Springs Rt.#2 NC
17. a. Burial    b.Date thereof  10-18-1945
c. Cemetery   Friendship    d. Location   Burke Co.
18. a. Funeral Director   Mackie Funeral Home   b. Address  
Granite Falls NC
19. a. Filed  Jan 4, 1946  b. Mrs. Edna Setzer    Registrar
Medical Certification
20. Date of Death   Oct 16, 1945  at  5 pm
21. I certify that death occured on the date above stated; that 
I attended deceased from 1940 to 1945, and that I last saw 
him alive on Oct 14, 1945.
Immediate cause of death   Kidney and Prostate
23.  Signature  D. J. Corpening       Address     Granite Falls   
Date signed       1-2-1946

Certificate Number 280 found at Burke County Courthouse