DEATH CERTIFICATE

 GURTRUDE DEALS

Date:   03 September 1941
Cert:   22645 
Place of Death: County: Knott Co.   City or Town: Lackey, Ky.
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Floyd
City or Town:  Wayland, Ky.
Full Name:  Gurtrude DEALS
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: 17 October 1941 (transcribed as written)
Age:  10 months, 16 days
Birthplace:  Wayland
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Vadis DIALS
Father Birthplace:  Knott Co.
Mother Maiden Name:  Tilda MULLINS
Mother Birthplace:  Knott Co.
Informant:  Vadis DIALS, Wayland, Ky.
Burial Place:  Wayland, Ky.
Date:  04 September 1941
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar:  22 September 1941
Registrar's Signature:  Phena Slone
Date of Death:  03 September 1941
I hereby certify that I attended deceased from 03 September 1941 to 03 September 1941, that I last saw her alive on 03 September 1941, and that death occurred on the date stated above at 11 a.m.
Immediate cause of death: Bronchopneumonia
Duration: (blank)
Due to: (blank)
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. R. Messer, M.D., Lackey, Ky.
Date signed:  18 September 1941
Transcribed by Debbie Tamborski, 12 October 2010