Date: 12 October 1952
Cert: 21726
Place of Death: County: Knott
City or Town: Lackey
Length of stay (in this place): (blank)
Street address or location: Stumbo Memorial
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Wayland Street Address:
(blank)
Full Name: H. H. MOORE
Date of Death: 12 October 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 06 January 1906
Age: 46 years
Usual Occupation: Miner
Kind of Industry or business: Mining
Birthplace: Floyd Co., Ky.
Father's Name: Albert MOORE
Mother's Maiden Name: Emma STUMBO
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Belle MOORE
Disease or condition directly leading to death: Pulmonary
insufficiency
Interval between onset and death: (blank)
Due to (b): Emphysema & bronchioctasis
Due to (c): Bronchial asthma
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: 23 October 1952
Address: Lackey, Ky.
Signature: C. G. Wherry, M.D.
Burial, Cremation or Removal: Burial
Date: 15 October 1952
Name of Cemetery or Crematory: Lucy Hall Cem.
Location: McDowell, Ky.
Date received by local registrar: 25 October 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: Hall Bros., Martin, Ky.
Transcribed by Debbie Tamborski, 26 January 2011 |