Date: 16 June 1949
Cert: 16795
Place of Death: County: Knott
City or Town: Lackey
Length of stay (in this place): 02 days
Name of Hospital or Institution: Stumbo Memorial Hosp.
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Wayland Street Address:
(blank)
Full Name: Elcainie MANNS
Date of Death: 16 June 1949
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 12 March 1949
Age: 03 months, 04 days
Usual Occupation: None
Kind of Industry or business: (blank)
Birthplace: Kentucky
Father's Name: Hager MANNS
Mother's Maiden Name: Olive COMBS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Hager MANNS
Disease/condition directly leading to death: Bronchial
Pneumonia
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 17 August 1949
Address: Lackey, Ky.
Signature: Robert D. Eastridge, M.D.
Burial, Cremation or Removal: Burial
Date: 17 June 1949
Name of Cemetery or Crematory: Wayland
Location: Wayland, Ky.
Date received by local registrar: 18 August 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: G. D. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 07 January 2011 |