Date: 05 August 1949
Cert: 27542
Place of Death: County: Knott City or Town:
Lackey, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Memorial
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Hueysville, Ky. Street Address:
(blank)
Full Name: Arlene BRADLEY
Date of Death: 05 August 1949
Sex, Color or Race, Marital Status: Female, White, Infant
Date of Birth: 02 June 1948
Age: 01 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Hueysville
Father's Name: Ashland BRADLEY
Mother's Maiden Name: Marie TAYLOR
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Mrs. Marie BRADLEY
Disease or condition directly leading to death:
Pneumonia
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 04 February 1950
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 07 August 1949
Name of Cemetery or Crematory: Jim Allen Cem.
Location: Hueysville
Date received by local registrar: 06 February 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: John C. Hall, Martin,
Ky.
Transcribed by Debbie Tamborski, 03 January 2011 |