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DEATH
CERTIFICATE
ROBERT C. LAMBERT, JR.
Date: 23 July 1944
Cert: 19919
Place of Death: County: Floyd City or Town:
Martin
Hospital or Institution: Beaver Valley Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Martin
Full Name: Robert C. LAMBERT, Jr.
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: 27 December 1943
Age: 07 months, 04 days
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: R. C. LAMBERT
Father Birthplace: Johnson Co., Ky.
Mother Maiden Name: Thelma MILLER
Mother Birthplace: Logan Co., W. Va.
Informant: Thelma LAMBERT, Martin, Ky.
Burial Place: (blank)
Date: (blank)
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 04 October 1944
Registrar's Signature: Winifred Norris
Date of Death: 23 July 1944
I hereby certify that I attended deceased from 23 July 1944 to
23 July 1944, that I last saw him alive on 23 July 1944, and
that death occurred on the date stated above at 1 p.m.
Immediate cause of death: Meningitis (epidemic type)
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: J. A. Stumbo, M.D., Martin, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 02 June 2010 |
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