Date:   13 February 1941
Cert:   07980 
Place of Death: County: Knott Co.   City or Town: Lackey
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Floyd
City or Town:  Garrett
Full Name:  Amous M. FITZPATRICK
If Veteran Name War: (blank)
Social Security No.: 402-18-9599
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Clara FITZPATRICK
Age of husband or wife if alive:  33 years
Birth date of deceased:  08 June 1907
Age: 33 years, 07 months, 05 days
Birthplace:  Knott Co.
Occupation:  Miner
Industry or business: (blank)
Father Name:  W. B. FITZPATRICK
Father Birthplace:  Knott Co.
Mother Maiden Name:  Sylvania HANSHOE
Mother Birthplace:  Knott Co.
Informant:  Clara FITZPATRICK, Garrett, Ky.
Burial Place:  Garrett, Ky.
Date:  15 February 1941
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar:  13 March 1941
Registrar's Signature:  Macie Miller
Date of Death:  13 February 1941
I hereby certify that I attended deceased from 12 February 1941 to 12 February 1941, that I last saw him alive on 12 February 1941, and that death occurred on the date stated above at 1:50 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: W. L. Stumbo, Lackey, Ky.
Date signed:  (blank)
Transcribed by Debbie Tamborski, 12 October 2010