Date: 21 January 1951
Cert: 01122
Place of Death: County: Knott
City or Town: Lackey
Length of stay (in this place): 01 day
Name of Hospital or Institution: Stumbo Memorial Hosp.
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Wayland Street Address:
(blank)
Full Name: Johnny Hubert POWERS
Date of Death: 21 January 1951
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 07 January 1951
Age: 14 days
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Kentucky
Father's Name: Russel POWERS
Mother's Maiden Name: (I?? illegible) Belle PAIGE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mrs. Russel POWERS
Disease or condition directly leading to death:
Pseudomonas enteritis
Interval between onset and death: 04 days
Due to: Acidosis
Interval between onset and death: 04 days
Due to: Dehydration
Interval between onset and death: day
Due to: (blank)
Interval between onset and death: (blank)
Other significant conditions: (blank)
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 21 January 1951
to 21 January 1951, that I last saw the deceased alive on 21
January 1951, and that death occurred at (illegible) p.m.,
from the causes and on the date stated above.
Date signed: (illegible)
Address: Lackey, Kentucky
Signature: (illegible)
Burial, Cremation or Removal: Burial
Date: 23 January 1951
Name of Cemetery or Crematory: Minerva Cemetery
Location: Dema, Ky.
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 |