deaths

DEATHS

Johnson County Arkansas Genealogy Trails

SISEMORE, Riley

WEATHERBY, Milda (Armilda)

WEATHERBY, William

DEATH CERTIFICATE
OF
RILEY SISEMORE

ARKANSAS STATE BOARD OF HEALTH
BUREAU OF VITAL STATISTICS
CERTIFICATE OF DEATH

1. Place of Death: County: Johnson            Township: Hill            Town or City: Dutton            Registration District No. 5960
Primary Registration District No. --
2. Full Name: Riley Sisemore            a. Residence: 6 miles south Dutton
PERSONAL AND STATISTICAL PARTICULARS
3. Sex: Male            4. Color or Race: White            5. Single, Married, Widowed, Divorced: Single
6. Date of Birth: month-12    day-16    year-1872            7. Age: 64 years, 7 months
8-11. Occupation: on relief no employer
12. Birthplace: Ark            Parents--13. Name of Father: Russell Sisemore    14. Birthplace of Father: Ky
15. Maiden Name of Mother: Pollian Sparks            16. Birthplace of Mother: KY
17. Informant: Wm Weatherby            Dutton
18. Burial Place: Sisemore            Date: 7-17-1937
19. Undertaker: James & Williams        Dutton and Pettigrew
20. Date Filed: Oct 10, 1937      Amelia Phillips, Registrar
MEDICAL CERTIFICATE OF DEATH
21. Date of Death: 7/16/1937
22. No attending Physician
Suppose to have ??? appendicitis

DEATH CERTIFICATE
OF
MILDA WEATHERBY

ARKANSAS STATE BOARD OF HEALTH
Bureau of Vital Statistics
Certificate of Death

1. Place of death: County: Johnson    Township: Hill    Registration District No. 5960    Primary Registration District No. 5957
Town or City: Dutton    Length of residence in city or town where death occurred 65years.
2. Full Name: Milda Weatherby (Note: actual name is Armilda)
PERSONAL AND STATISTICAL PARTICULARS
3. Sex: Female    4. Color or Race: White    5. Single, Married, Widowed or Divorced: Married.    5a. Spouse: Wm. Weatherby
6. Date of Birth: March 26, 1875    7. Age: 65 years, 6 months, 17 days
8. Occupation: Housewife        9.                10.            11.
12. Birthplace: Ark
13. Name of Father: Russell Sisemore        14. Birthplace of Father: KY
15. Maiden Name of Mother: Polly An Sparks        16. Birthplace of Mother: KY
17. Informant: William Weatherby        Address: Dutton
18. Burial Place: Homeplace        Date: Oct 14, 1940
19. Undertaker: E. Creurine (hard to read)        Address: Clarksville
20. Jan 10, 1941 Amelia Phillips, Registrar
MEDICAL CERTIFICATE OF DEATH
21. Date of death: Oct 13, 1940
22. I HEREBY CERTIFY, that I attended deceased from May 10, 1940 to Oct 13, 1940...death bo said to hav4e occurred on the date stated above at 3 a.m.
The principal cause of death, and ...Not known
23. If death was due to external causes fill in also the rollowing:
24. Signed. Jno Floyd, M. D.       Oark, Ark

DEATH CERTIFICATE
OF
WILLIAM WEATHERBY

STATE OF ILLINOIS
CORONER'S CERTIFICATE OF DEATH
State File Number: 53431
Registration District No. 75
Registered Number 177

1. PLACE OF DEATH:
    a. Pike County, Illinois
    b. Death took place: (Outside city limits in ATLAS Township
    c. City, Village or Town
    d. Length of Stay in: 1 day
2. USUAL RESIDENCE:
    a. State: Arkansas
    b. County: Johnson
    c. Residence was Outside city limits in THIRTEEN Township.
    d. City, Village or Town: Pettigrew, Ark.
    e. Length at Residence: 75
    f. Street Address: RFD
    g. Did decedent reside on a farm? Yes
3. NAME OF DECEASED: WILLIAM WEATHERBY
4. DATE OF DEATH: (UNKNOWN is listed and marked out. Death is marked out and "FINDING" is inserted): Nov 15, 1957
5. SEX: Male
6. RACE: White
7. MARRIED, WIDOWED, DIVORCED: Widowed
8. DATE OF BIRTH: Jan 18, 1872
9. AGE: 85
10a. USUAL OCCUPATION: Farmer
10b. KIND OF BUSINESS: General
11. BIRTHPLACE: Cassville Missouri
12. CITIZEN OF WHAT COUNTRY: USA
13. FATHER'S FULL NAME: John Weatherby
14. MOTHER'S FULL MAIDEN NAME: Milda Sisemore
15. WAS DECESASED EVER IN U. S. ARMED FORCES? No
16. SOCIAL SECURITY NUMBER: none
17. INFORMANT SIGNATURE: s/John Weatherby, Pettigrew, Ark, son.
18. MEDICAL CAUSE OF DEATH: Unknown; had been lost for some time and was exposed to weather for weeks.
19. AUTOPSY: no
20. DESCRIBE HOW INJURY OCCURRED: This was an aged man who wandered away and was lost for 5 months.
21. Upon medical investigation I find this death was caused as stated above on Nov 15, 1957. Roy Conboy, COUNTY CORONER.
22. DISPOSITION: Private Weatherby Cemetery, Pettigrew, Arkansas
23. Sutter Funeral Home, Pittsfield, Ill. John Sutter, License Number: 1809
24. Received for filing on Nov. 19, 1957--Katherine Smith, Local Registrar