Date: 26 March 1951
Cert: 12466
Place of Death: County: Knott
City or Town: Lackey
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: Wayland Street Address:
(blank)
Full Name: Richard COOK
Date of Death: 26 March 1951
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth: 05 July 1892
Age: 58 years
Usual Occupation: Miner
Kind of Industry or business: Coal
Birthplace: Wayne Co., W. Va.
Father's Name: James COOK
Mother's Maiden Name: Katherine SPARKS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: James COOK, Jr.
Disease/condition directly leading to death: Coronary
Occlusion
Interval between onset and death: 01 day
Due to (b): Coronary arteriosclerosis
Interval between onset and death: 02 years
Due to (c): Cardiac Decompensation
Interval between onset and death: 01 year
Other significant conditions: Uremia
Interval between onset and death: 03 day
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 19 February
1951 to 26 March 1951, that I last saw the deceased alive on
26 March 1951, and that death occurred at 2:00 a.m., from the
causes and on the date stated above.
Date signed: 06 July 1951
Address: Lackey, Ky.
Signature: Martha A. Loving, M.D.
Burial, Cremation or Removal: Burial
Date: 29 March 1951
Name of Cemetery or Crematory: Family Cem.
Location: Man, W. Va.
Date received by local registrar: 06 July 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: Arnold Funeral Home,
Prestonsburg, Ky.
Transcribed by Debbie Tamborski, 18 January 2011 |