Date: 18 August 1947
Cert: 22630
Place of Death: County: Knott City or
Town: Lackey, Ky. Rural
Name of Hospital or Institution: Stumbo Memorial Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Lackey, Ky.
Full Name: Jesse T. PATRICK
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 07 December 1881
Age: 65 years,08 months, 11 days
Birthplace: Greenup Co.
Occupation: Jeweler
Industry or business: (blank)
Father Name: Meredith PATRICK
Father Birthplace: Magoffin Co.
Mother Maiden Name: Nancy Ann MADDOX
Mother Birthplace: Greenup Co.
Informant: G. R. PATRICK, Garrett, Ky.
Burial Place: (blank)
Date: (blank)
Signature of funeral director: E. P. Arnold,
Prestonsburg, Ky.
Date received by local registrar: 09 October 1947
Registrar's Signature: Rose B. Craft
Date of Death: 18 August 1947
I hereby certify that I attended deceased from 16 August 1947 to
18 August 1947, that I last saw him alive on 18 August 1947,
and that death occurred on the date stated above at 3:00 p.m.
Immediate cause of death: Generalized peritonitis
Duration: (blank)
Due to: Ruptured ulcer which was found to be cancer
Major findings of operations: Cancer of stomach
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. M. Aker, M.D., Lackey, Ky.
Date signed: 08 October 1947
Transcribed by Debbie Tamborski, 20 December 2010 |