Date: 26 June 1948
Cert: 21271
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Mem.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Garrett
Full Name: John S. HANCOCK
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Alta HANCOCK
Age of husband or wife if alive: 27 years
Birth date of deceased: 28 May 1916
Age: 32 years, 00 months, 28 days
Birthplace: Floyd Co., Ky.
Occupation: Miner (Coal)
Industry or business: (blank)
Father Name: Luke HANCOCK
Father Birthplace: Pulaski Co., Ky.
Mother Maiden Name: Lena MCKEY
Mother Birthplace: Pulaski Co., Ky.
Informant: Lawrence HANCOCK, Garrett, Ky.
Burial Place: Garrett, Ky.
Date: 28 June 1948
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 27 October 1948
Registrar's Signature: Rose B. Craft
Date of Death: 28 June 1948
I hereby certify that I attended deceased from 26 June 1948 to
26 June 1948, that I last saw him alive on 26 June 1948, and that death
occurred on the date stated above at (blank)
Immediate cause of death: Respiratory failure
Duration: (blank)
Due to: Head injury
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: auto accident
Signature & Address: C. M. Aker, M.D., Lackey, Ky.
Date signed: 25 October 1948
Transcribed by Debbie Tamborski, 27 December 2010 |