Date: 06 February 1946
Cert: 09430
Place of Death: County: Knott City or
Town: Lackey, Ky. Rural
Name of Hospital or Institution: Stumbo Memo.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Boyd
City or Town: Ashland Street
No.: 105 Blackburn Ave.
Full Name: Austin D. LAFFERTY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 23 March 1940
Age: 05 years, 10 months, 13 days
Birthplace: Langley, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Chester LAFFERTY
Father Birthplace: Langley
Mother Maiden Name: Clettus HAYS
Mother Birthplace: Langley
Informant: Clettus Lafferty, 105 Blackburn Ave., Ashland, Ky.
Burial Place: Langley, Ky.
Date: 08 February 1946
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 24 April 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 06 February 1946
I hereby certify that I attended deceased from 04 February
1946 to
06 February 1946, that I last saw him alive on 06 February
1946, and that death
occurred on the date stated above at 3:45 p.m.
Immediate cause of death: Died on operating table while
doing a tonsillectomy
Duration: (blank)
Due to: Rheumatic Heart
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: A. P. Hodge, M.D., Lackey, Ky.
Date signed: 23 April 1946
Transcribed by Debbie Tamborski, 08 December 2010 |