Date: 28 November 1942
Cert: 04286
Place of Death: County: Knott City or
Town: Rural
Street No. or Location: Anco, Ky.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural,
give precinct: Anco, Ky.
Full Name: Alfred Taylor LEE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Lizzie LEE
Age of husband or wife if alive: 47 years
Birth date of deceased: (blank)
Age: 47 years
Birthplace: Powell Co., Ky.
Occupation: Coal Miner
Industry or business: (blank)
Father Name: Jim LEE
Father Birthplace: Powell Co., Ky.
Mother Maiden Name: AMBURGEY
Mother Birthplace: Ky.
Informant: Barney LEE, Anco, Ky.
Burial Place: Jackson, Ky.
Date: 01 December 1942
Signature of funeral director: Engle Und. & Hdwe., Hazard, Ky.
Date received by local registrar: 06 March 1943
Registrar's Signature: Ida Livingston
Date of Death: 28 November 1942
I hereby certify that I attended deceased from 01 January (illegible) to
28 November 1942, that I last saw him alive on 28 November
1942, and that death
occurred on the date stated above at 10 a.m.
Immediate cause of death: Cerebral hemorrhage
Duration: 01 day
Due to: hypertensive heart disease
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: Chris S. Jackson, M.D., Hazard,
Ky.
Date signed: 02 December 1942
Transcribed by Debbie Tamborski, 17 October 2010 |