Date: 09 April 1950
Cert: 14724
Place of Death: County: Knott County
City or Town: Dema
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Dema Street Address:
(blank)
Full Name: Eva LAYNE
Date of Death: 09 April 1950
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 21 November 1903
Age: 46 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott County, Kentucky
Father's Name: John TERRY
Mother's Maiden Name: Nancy STAMPER
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Buck LAYNE
Disease or condition directly leading to death: Cardio
Vascular
Interval between onset and death: (blank)
Due to: Hypertension
Interval between onset and death: 02 years
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
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 1945 to
07 April 1950, that I last saw the deceased alive on (illegible)
1950, and
that death occurred at 2 a.m., from the causes and on the
date stated above.
Date signed: (blank)
Address: Wayland
Signature: M. V. Wicker, M.D.
Burial, Cremation or Removal: Burial
Date: 14 April 1950
Name of Cemetery or Crematory: Turner Cemetery
Location: Dema, Knott Co., Kentucky
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Funeral director & address: G. D. Ryan, Martin,
Kentucky
Transcribed by Debbie Tamborski, 14 January 2011 |