Date: 17 December 1949
Cert: 27550
Place of Death: County: Knott
City or Town: Lackey
Length of stay (in this place): 1 1/2 hours
Name of Hospital or Institution: Stumbo Memorial Hospital,
Lackey, Ky.
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Wayland, Ky. Street Address:
(blank)
Full Name: Corbet BENTLEY
Date of Death: 17 December 1949
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth: 22 May 1899
Age: 50 years, 06 months, 25 days
Usual Occupation: Motorman in mines
Kind of Industry or business: (blank)
Birthplace: Canada, Pike Co., Ky.
Father's Name: Pharoah BENTLEY
Mother's Maiden Name: Polly SCOTT
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Billy BENTLEY
Disease condition directly leading to death: Coronary
Occlusion
Interval between onset and death: Undet.
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 17 December
1949 to 17 December 1949, that I last saw the deceased alive on
17 December 1949, and
that death occurred at 3:20 p.m., from the causes and on the
date stated above.
Date signed: 09 January 1950
Address: 2106 1/2 Walnut St., Catlettsburg, Ky.
Signature: Robert D. Eastridge, M.D.
Burial, Cremation or Removal: Burial
Date: 21 December 1949
Name of Cemetery or Crematory: Bentley
Location: Dicks Fork of Big Branch
Date received by local registrar: 23 January 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: F. W. Baker, Pikeville,
Ky.
Transcribed by Debbie Tamborski, 02 January 2011 |