Date:    31 March 1948
Cert:    08258 
Place of Death: County: Knott   City or Town:  Lackey
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: 03 days
Usual Residence of Deceased: State: Kentucky   County: Floyd
City or Town:  Wayland 
Full Name:  Charles Vincent DECOURSEY 
If Veteran Name War: Spanish American
Social Security No.:  (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Paulene Hester CORNETT
Age of husband or wife if alive: 59 years
Birth date of deceased:  09 June 1874 
Age:  73 years, 09 months, 22 days
Birthplace:  Penn. 
Occupation:  Miner 
Industry or business:  (blank)
Father Name:  Unknown 
Father Birthplace:  Penn. 
Mother Maiden Name:   Unknown 
Mother Birthplace:   Penn 
Informant:   Charles DECOURSEY Jr., Wayland, Ky.
Burial Place:   Northern 
Date:  03 April 1948 
Signature of funeral director:  E. P. Arnold, Prestonsburg, Ky.
Date received by local registrar: 08 May 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  31 March 1948 
I hereby certify that I attended deceased from 28 March 1948 to 31 March 1948, that I last saw him alive on 31 March 1948, and that death occurred on the date stated above at 7:30 p.m.
Immediate cause of death:  Heart failure 
Duration: (blank)
Due to:  Hypertension
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:  04 May 1948 
Transcribed by Debbie Tamborski, 24 December 2010