Date:  16 June 1954
Cert:  #16283
Place of Death: County: Knott      City or Town: Lackey Rural
Length of stay (in this place): Life
Street address or location: Residence
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town: Lackey Rural     Street Address: Lackey, Ky.
Full Name:  John Wesley MOORE
Date of Death:  16 June 1954
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  12 January 1878
Age:  76 years
Usual Occupation:  Retired
Kind of Industry or business: Barber
Birthplace:  Knott Co., Ky.
Father's Name:  Jefferson MOORE
Mother's Maiden Name:  Elizabeth MOSLEY
Was deceased ever in armed forces: no not known
Social Security No.: not reported
Informant:  Mrs. Perchie OSBORN MOORE
Disease or condition directly leading to death:  Cardiac failure
Interval between onset and death:  (blank)
Due to:  Coronary occlusion
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 16 June 1954 to 17 June 1954, that I last saw the deceased alive on 17 June 1954, and that death occurred at 4:00 a.m., from the causes and on the date stated above.
Date signed:  18 June 1954
Address:  Lackey, Ky. 
Signature:  C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date:  20 June 1954
Name of Cemetery or Crematory: Family Cem.
Location:  Knott Co., Mousie
Date received by local registrar: 30 June 1954
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address:  Fred Miller, (illegible), Ky.
Transcribed by Debbie Tamborski, 17 March 2011