DEATH CERTIFICATE

TRACY C. CRISP

Date:  07 January 1949
Cert:  01226 
Place of Death: County: Knott      City or Town: Lackey, Ky.
Name of Hospital or Institution:  Stumbo Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Floyd
City or Town:  Martin, Ky.
Full Name:  Tracy C. CRISP
If Veteran Name War: II
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:  17 January 1913
Age: 35 years
Birthplace:  Martin, Ky.
Occupation:  Farmer
Industry or business: "
Father Name:  Faris CRISP
Father Birthplace:  Martin, Ky.
Mother Maiden Name:  Dollie STEPHENS
Mother Birthplace:  Martin, Ky.
Informant:  Monie MAYS, Martin, Ky.
Burial Place:  Martin, Ky.
Date:  09 January 1949
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar:  18 January 1949
Registrar's Signature:  Rose B. Craft
Date of Death:  07 January 1949
I hereby certify that I attended deceased from 06 January 1949 to 07 January 1949, that I last saw him alive on 07 January 1949, and that death occurred on the date stated above at 3 a.m.
Immediate cause of death:  Cardiac arrest
Duration: (blank)
Due to: Alcoholism, acute, severe
Other conditions:  Gastritis, acute, severe, sec. to #1
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Robert D. Eastridge, M.D., Lackey, Ky.
Date signed:  18 January 1949
Transcribed by Debbie Tamborski, 04 January 2011