DEATH CERTIFICATE

RICHARD COOK

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