Date:    08 January 1948
Cert:    03512 
Place of Death: County: Knott   City or Town:  Lackey
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Lackey 
Full Name:  Johnny MEADE 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Pearl MEADE
Age of husband or wife if alive: 36 years
Birth date of deceased:  12 April 1908 
Age: 39 years, 08 months, 26 days
Birthplace:   Letcher Co., Ky. 
Occupation:  Miner (Coal) 
Industry or business:  (blank)
Father Name:  J. P. MEADE 
Father Birthplace:  Letcher Co. 
Mother Maiden Name:   Polly Ann BENTLEY 
Mother Birthplace:   Letcher Co., Ky. 
Informant:  Irvin MEADE, Printer, Ky. 
Burial Place:   Dema, Ky. 
Date:   11 January 1948 
Signature of funeral director:  W. J. Ryan, Martin, Ky.
Date received by local registrar:  13 February 1948 
Registrar's Signature: Rose B. Craft
Date of Death:  08 January 1948 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at 5:00 p.m.
Immediate cause of death:  (blank) 
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide:  Accident
Date of occurrence: 08 January 1948
Where did injury occur: Inside coal mine
While at work:  Yes
Means of injury: Slatefall
Signature & Address:  W. J. Ryan, Embalmer, Martin, Ky.
Date signed:  08 January 1948 
Transcribed by Debbie Tamborski, 28 December 2010