Date:   07 September 1941
Cert:   24820 
Place of Death: County: Knott  City or Town: Lackey, Kentucky
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: 12 days
Usual Residence of Deceased: State: Kentucky  County: Floyd
City or Town:  Melvin, Ky.
Full Name:  Matilda NEWSOME
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of:  John B. NEWSOME
Age of husband or wife if alive:  49 years
Birth date of deceased:  11 March 1898
Age: 43 years, 05 months, 26 days
Birthplace:  Pike County, Kentucky
Occupation:  housewife
Industry or business: (blank)
Father Name:  John P. MCCOY
Father Birthplace:  don't know
Mother Maiden Name:  Delphie LITTLE
Mother Birthplace:  don't know
Informant:  Forest NEWSOME, Melvin, Ky.
Burial Place:  Tackett Cem.
Date:  09 September 1941
Signature of funeral director: J. L. Malone, Bypro, Ky.
Date received by local registrar:  31 October 1941
Registrar's Signature:  Phena Slone
Date of Death:  07 September 1941
I hereby certify that I attended deceased from 01 September 1941 to 07 September 1941, that I last saw h-- alive on 97 September 1941, and that death occurred on the date stated above at (blank)
Immediate cause of death: Thyroid Heart Disease
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: Edward R. Codden, M.D., Martin, Ky.
Date signed:  15 October 1941
Transcribed by Debbie Tamborski, 14 October 2010