Burke County, NC - Vitals - Dessie Angeline Cook Fowler, 1945

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Death Certificate of Dessie Angeline Cook Fowler

North Carolina State Board of Health  
Bureau of Vital Statistics 
Certificate of Death  		
Registration Dist. No. 12-01  
Certificate No. 16

Place of death: 
a. County   Burke
b. Township   Icard
c. City or town    Connelly Springs NC
d. Street, hospital, or institution   Rt.#2d. Street or 
2. Home  a. State   NC   b. County   Burke     
c. City or Town   Connelly Springs 
d.  Street or R.F.D.  #2
3. a. Full name    Dessie Angeline Fowler
4.  Sex  F   5.  Color or Race  W   6. a. Married
6. b.  Name of husband or wife   Wm. A. Fowler
c.  Age of husband or wife if alive   90 years
7. Birth date of deceased   7-4-1860
8. Age   85 years   14 days
9. Birthplace   Burke County  10. Usual occupation  Domestic
Father/Mother
12. Name   Jessie Cook   13. Birthplace   Cleveland Co.
14. Maiden name    Martha Aiken   15. Birthplace   Burke Co.
16. a. Informant's signature   Miss Mary Fowler
b. Address  Connelly Springs NC  Rt#2
17. Burial   b. date thereof   7-21-45
c. Cemetery   Friendship    d. Location   Burke Co. 
18. a. Funeral Director   Mackie Funeral Home (unreadable word)
b. Address   Granite Falls NC
19. a. Filed   Nov 3, 1945   b.  Mrs. Edna Setzer  Registrar
Medical Certification
20. Date of Death   7-18-1945  at  4:50 p.m.
21. I certify that death occurred on the date above stated; 
that I attended deceased from 7-17-1945, to   7-18-1945  and
that I last saw her alive on 7-17-1945
Immediate cause of death  Ceberal Hem  paralysis Duration 3 days
23. Signature    D.J. Corpening    Address   Granite Falls NC
Date signed  9-18-1945

Ccertificate number 294 found at Burke County Courthouse