Date: 23 December 1945
Cert: 01922
Place of Death: County: Knott City or
Town: Anco (Rural)
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: 01 year
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Anco (Rural)
Full Name: James J. MASON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 25 February 1874
Age: 71 years, 09 months, 27 days
Birthplace: Kentucky
Occupation: Janitor - Public School
Industry or business: Same
Father Name: Henry J. MASON
Father Birthplace: Fayette County, Ky.
Mother Maiden Name: Fanny MASON
Mother Birthplace: No Record
Informant: Mrs. Sam SEXTON, Whitesburg, Ky.
Burial Place: Burial, Big Stone Gap, Va.
Date: 26 December 1945
Signature funeral director: Evans Funeral Home,
Whitesburg, Ky.
Date received by local registrar: 29 January 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 23 December 1945
I hereby certify that I attended deceased from 07 November
1945 to
23 December 1945, that I last saw him alive on 23 December
1945, and that death occurred on the date stated above at 10
p.m.
Immediate cause of death: Chronic myocarditis and
myocardial insufficiency
Duration: (blank)
Due to: Myocardial insufficiency
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. R. Aker, M.D., Anco, Ky.
Date signed: 26 December 1945
Transcribed by Debbie Tamborski, 29 November 2010 |