DEATH CERTIFICATE

JOHN L. BURGER

Date:    14 September 1948
Cert:    21272 
Place of Death: County: Knott   City or Town: Lackey
Name of Hospital or Institution: Stumbo Mem.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Floyd
City or Town:  Melvin 
Full Name:  John L. BURGER 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  12 July 1948 
Age:  02 months, 02 days
Birthplace:  Melvin, Ky. 
Occupation:  (blank) 
Industry or business:  (blank)
Father Name:  John BURGER 
Father Birthplace:  Penn. 
Mother Maiden Name:   Daisy HALL 
Mother Birthplace:   Knott Co. 
Informant:  John BURGER, Melvin 
Burial Place:   Melvin 
Date:  14 September 1948 
Signature of funeral director:  G. D. Ryan, Martin, Ky.
Date received by local registrar:  15 October 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  14 September 1948 
I hereby certify that I attended deceased from 14 September 1948 to 14 September 1948, that I last saw him alive on 14 September 1948, and that death occurred on the date stated above at 11 a.m.
Immediate cause of death:  Toxemia
Duration: (blank)
Due to:  Infectious diarrhea
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:  13 October 1948 
Transcribed by Debbie Tamborski, 22 December 2010