Date: 10 March 1941
Cert: 07979
Place of Death: County: Knott City or
Town: Rural
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: Wayland
Full Name: Lena FRALEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: (illegible) FRALEY
Age of husband or wife if alive: 53 years
Birth date of deceased: 22 January 1893
Age: 48 years, 01 months, 16 days
Birthplace: Kentucky
Occupation: at home
Industry or business: (blank)
Father Name: Jacob CASTLE
Father Birthplace: Ky.
Mother Maiden Name: Lydia WILEY
Mother Birthplace: Ky.
Informant: Proctor CASTLE, Thealka, Ky.
Burial Place: Thealka, Ky.
Date: 12 March 1941
Signature of funeral director: J. A. Jones, Paintsville, Ky.
Date received by local registrar: 31 March 1941
Registrar's Signature: Miss Macie Miller
Date of Death: 10 March 1941
I hereby certify that I attended deceased from 10 March 1941 to
10 March 1941, that I last saw her alive on 10 March 1941, and
that death occurred on the date stated above at 10:45 p.m.
Immediate cause of death: Uremic coma
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: N. L. Stumbo, M.D., Lackey, Ky.
Date signed: 15 March 1941
Transcribed by Debbie Tamborski, 12 October 2010 |