Date: 24 January 1951
Cert: 01123
Place of Death: County: Knott
City or Town: Lackey
Length of stay (in this place): 01 day
Name of Hospital or Institution: Stumbo Memorial
Hospital
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Wayland Street Address:
(blank)
Full Name: Roger Lee PATRICK
Date of Death: 24 January 1951
Sex, Color or Race, Marital Status: Male, White, Infant
Date of Birth: 31 August 1950
Age: 06 months
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Williamson, W. Va.
Father's Name: Millard PATRICK
Mother's Maiden Name: Etta DEMPSEY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Millard PATRICK
Disease or condition directly leading to death:
Pseudomonas Enteritis
Interval between onset and death: 02 days
Due to: Acidosis, Dehydration
Interval between onset and death: 01 day
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 24 January 1951 to
24 January 1951, that I last saw the deceased alive on 24
January 1951, and
that death occurred at 10 p.m., from the causes and on the
date stated above.
Date signed: 26 January 1951
Address: Lackey, Ky.
Signature: Martha A. Loving, M.D.
Burial, Cremation or Removal: Burial
Date: 26 January 1951
Name of Cemetery or Crematory: Family Cemetery
Location: Williamson, W. Va.
Date received by local registrar: 29 January 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: David Cook, Lackey, Ky.
Transcribed by Debbie Tamborski, 21 January 2011 |