Date: 15 October 1947
Cert: 28502
Place of Death: County: Knott City or
Town: Lackey, Ky. Rural
Name of Hospital or Institution: Stumbo Memo. Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Wayland
Full Name: Infant BRADY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 15 October 1947
Age: 04 hours, 22 minutes
Birthplace: Lackey, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: David BRADY
Father Birthplace: N. C.
Mother Maiden Name: Tennie VANCE
Mother Birthplace: W. Va.
Informant: David BRADY, Wayland, Ky.
Burial Place: Eastern, Ky.
Date: 15 October 1947
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 14 January 1948
Registrar's Signature: Rose B. Craft
Date of Death: 15 October 1947
I hereby certify that I attended deceased from 15 October 1947 to
15 October 1947, that I last saw him alive on 15 October 1947, and that death
occurred on the date stated above at 6:00 a.m.
Immediate cause of death: Respiratory failure
Duration: (blank)
Due to: (illegible) of right lung
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 January 1948
Transcribed by Debbie Tamborski, 16 December 2010 |