DEATH CERTIFICATE

 ROBERT H. NEAL

Date:   01 January 1941
Cert:   02308 
Place of Death: County: Knott     City or Town: Lackey, Ky.
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Floyd
City or Town:  Wayland, Ky.
Full Name:  Robert H. NEAL
If Veteran Name War: (blank)
Social Security No.: 400-09-5277
Sex, Color or Race, Marital Status: Male, Colored, Married
Husband or Wife of:  Laura NEAL
Age of husband or wife if alive:  56 years
Birth date of deceased:  04 July 1882
Age: 58 years, 05 months, 26 days
Birthplace:  Harrison Co., Ga.
Occupation:  Miner
Industry or business: Elkhorn Coal Co.
Father Name:  Robert NEAL
Father Birthplace:  Ga.
Mother Maiden Name:  Susan HALL
Mother Birthplace:  Ga.
Informant:   Laura NEAL, Wayland, Ky. 
Burial Place:  Wayland, Ky.
Date:  05 January 1941
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar:  09 January 1941
Registrar's Signature:  Macie Miller
Date of Death:  01 January 1941
I hereby certify that I attended deceased from 16 December 1940 to 01 January 1941, that I last saw him alive on 01 January 1940, and that death occurred on the date stated above at 10:35 p.m.
Immediate cause of death: Pulmonary Tuberculosis
Duration: (blank)
Due to: (blank)
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:  W. L. Stumbo, M.D., Martin, Ky.
Date signed:  03 January 1941
Transcribed by Debbie Tamborski, 14 October 2010