Date: 20 October 1945
Cert: 23989
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: Estill
Full Name: David PRINCE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Lillie PRINCE
Age of husband or wife if alive: 52 years
Birth date of deceased: 30 November 1906
Age: 38 years, 10 months, 20 days
Birthplace: Arkansas
Occupation: Mines (Coal)
Industry or business: (blank)
Father Name: Thomas PRINCE
Father Birthplace: Arkansas
Mother Maiden Name: Thula SMITH
Mother Birthplace: Arkansas
Informant: Lillie PRINCE, Estill, Ky.
Burial Place: Garrett, Ky.
Date: 25 October 1945
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 26 November 1945
Registrar's Signature: Rose B. Craft
Date of Death: 20 October 1945
I hereby certify that I attended deceased from 13 October 1945 to
20 October 1945, that I last saw him alive on 20 October 1945, and that death
occurred on the date stated above at 10:00 p.m.
Immediate cause of death: Lobar pneumonia
Duration: (blank)
Due to: Trauma
Other conditions: Internal injuries
Accident, suicide, or homicide: Car accident
Date of occurrence: (blank)13 October 1945
Where did injury occur: Highway
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. A. Stumbo, M.D., Lackey, Ky.
Date signed: 26 November 1945
Transcribed by Debbie Tamborski, 29 November 2010 |