Date: 22 January 1948
Cert: 23454
Place of Death: County: Knott City or
Town: Pinetop, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Pinetop Rural
Full Name: Mrs. Curl VANCE BENTLEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Irvin BENTLEY
Age of husband or wife if alive: (blank)
Birth date of deceased: 25 April 1875
Age: 72 years,08 months, 27 days
Birthplace: Topmost, Ky.
Occupation: House keeping
Industry or business: (blank)
Father Name: Austin VANCE
Father Birthplace: Topmost, Ky.
Mother Maiden Name: Mary Att HUFF
Mother Birthplace: Pippapass, Ky.
Informant: Mrs. Nola ADAMS, Pinetop, Ky.
Burial Place: May, Ky.
Date: 24 January 1948
Signature of funeral director: Friends, May & Pinetop
Date received by local registrar: 19 November 1948
Registrar's Signature: Rose B. Craft
Date of Death: 22 January 1948
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Pneumonia
Duration: (blank)
Due to: Cancer of stomach causing debilitation
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: C. M. Aker, M.D., Lackey, Ky.
Date signed: 12 November 1948
Transcribed by Debbie Tamborski, 22 December 2010 |