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DEATH
CERTIFICATE
LLOYD WAYNE KING
Date 25 January 1952
Cert: 02159
Place of Death: County: Fayette City or Town: Lexington
Length of stay in hospital or community: 02
Name of Hospital or Institution: St. Joseph
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Hall, Ky.
Full Name: Lloyd Wayne KING
Date of Death: 25 January 1952
Sex, Color or Race, Marital Status: Male, White, Infant
Date of Birth: 19 January 1952
Age: 06 days
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Stumbo Memorial Hosp.
Father's Name: Lloyd KING
Mother's Maiden Name: Lonnie KING
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Lloyd KING
Disease or condition directly leading to death: Atresia
of Esophagus and Trachea. Esophageal Fistula.
Atresia of Common Bile Duct
Interval between onset and death: Congenital
Due to: (blank)
Other significant conditions: Patent Ductus Arteriosus
Patent Foramen Ovale
Interval between onset and death: Congenital
Date of Operation: 23 January 1952
Major findings of operation: Atresia of Esophagus & Trachea.
Esophageal Fistula.
Autopsy: Yes
Accident, suicide, or homicide: No
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 22 January 1952
to 25 January 1952, that I last saw the deceased alive on 25
January 1952, and that death occurred on the date stated above
at 7:15 a.m., from the causes and on the date stated above.
Date signed: 09 February 1952
Address: 200 W. Second St., Lexington, Ky.
Signature: Thomas R. Bryant, Jr., M.D.
Burial, Cremation or Removal: Burial
Date: 27 January 1952
Name of Cemetery or Creamatory: Family
Location: Hall, Knott County, Ky.
Date received by local registrar: 11 February 1952
Registrar's Signature: D. A. Furlong
Funeral director and address: John C. Hall, Martin, Ky.
Transcribed by Debbie Tamborski, 20 February 2010 |
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