Date: 18 August 1941
Cert: 20355
Place of Death: County: Knott Co. City or
Town: Lackey, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Wayland, Ky.
Full Name: Luther HAYES
If Veteran Name War: (blank)
Social Security No.: 406-02-2484
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Ruth HAYES
Age of husband or wife if alive: 31 years
Birth date of deceased: 08 July 1885
Age: 56 years
Birthplace: (?Louisville? illegible), Ky.
Occupation: Miner
Industry or business: Elkhorn Coal Corporation
Father Name: Omar HAYES
Father Birthplace: Johnson Co.
Mother Maiden Name: Edith BARCLUAS
Mother Birthplace: Johnson Co.
Informant: Ruth HAYES, Wayland, Ky.
Burial Place: (?Dock? illegible), Ky.
Date: 20 August 1941
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar: 30 August 1941
Registrar's Signature: Phena Slone
Date of Death: 18 August 1941
I hereby certify that I attended deceased from 16 August 1941 to
18 August 1941, that I last saw him alive on 18 August 1941,
and that death occurred on the date stated above at 11:15 a.m.
Immediate cause of death: Cerebral Hemorrhage
Duration: (blank)
Due to: High blood pressure
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, M.D., Lackey, Ky.
Date signed: 21 August 1941
Transcribed by Debbie Tamborski, 12 October 2010 |