Date: 30 October 1942
Cert: 01857
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Lackey
Full Name: O. C. ONEY Jr.
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 02 October 1939
Age: 03 years
Birthplace: Floyd Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Jim ONEY
Father Birthplace: Morgan Co., Ky.
Mother Maiden Name: Rosa CHAFFIN
Mother Birthplace: Virginia
Informant: Jim ONEY, Lackey, Ky.
Burial Place: Wayland, Ky.
Date: 01 November 1942
Signature of funeral director: W. J. Ryan
Date received by local registrar: 05 January 1943
Registrar's Signature: Ida Livingston
Date of Death: 30 October 1942
I hereby certify that I attended deceased from 29 October 1942 to
30 October 1942, that I last saw him alive on 30 October 1942, and that death
occurred on the date stated above at 11:00 a.m.
Immediate cause of death: Pneumonia
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: C. J. Kelso, M.D.
Date signed: (blank)
Transcribed by Debbie Tamborski, 17 October 2010 |