DEATH CERTIFICATE

 TYRONE MASSEY

Date:   19 July 1941
Cert:   17944 
Place of Death: County: Knott     City or Town: Lackey, Ky.
Name of Hospital or Institution: Stumbo Memorial
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Garrett, Ky.
Full Name:  Tyrone MASSEY
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:  28 January 1941
Age: 05 months, 21 days
Birthplace:  Lackey, Ky.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Rudolph MASSEY
Father Birthplace:  (blank)
Mother Maiden Name:  Sinda GAYHEART
Mother Birthplace:  Knott Co.
Informant:  Sinda GAYHEART, Garrett, Ky.
Burial Place:  Garrett, Ky.
Date:  20 July 1941
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar:  31 July 1941
Registrar's Signature:  Macie Miller
Date of Death:  19 July 1941
I hereby certify that I attended deceased from 18 July 1941 to 19 July 1941, that I last saw him alive on 04 July 1941, and that death occurred on the date stated above at 3:30 p.m.
Immediate cause of death:  Bronchial pneumonia
Duration: 03 days
Due to: (blank)
Other conditions:  non specific diarrhea
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: C. R. Messer, M.D., Lackey, Ky.
Date signed:  (blank)
Transcribed by Debbie Tamborski, 14 October 2010