Date: 15 May 1941
Cert: 15467
Place of Death: County: Knott City or
Town: Lackey, Ky.
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Hueysville, Ky.
Full Name: Dock B. REED
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: 01 June
Age: 64 years, 11 months, 14 days
Birthplace: Floyd Co.
Occupation: Labor
Industry or business: (blank)
Father Name: Amous REED
Father Birthplace: Va.
Mother Maiden Name: Jennie ROSS
Mother Birthplace: Va.
Informant: Andy J. REED, Hueysville, Ky.
Burial Place: Hueysville, Ky.
Date: 17 May 1941
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar: 24 June 1941
Registrar's Signature: Macie Miller
Date of Death: 15 May 1941
I hereby certify that I attended deceased from 15 May 1941
from 4:00 p.m. to 11:00 p.m., that I last saw him alive on 15
May 1941, and that death
occurred on the date stated above at 11:00 p.m.
Immediate cause of death: Cerebral embolism
Duration: (blank)
Due to: Arterio sclerosis
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: W. L. Stumbo, M.D., Lackey, Ky.
Date signed: 21 May
Transcribed by Debbie Tamborski, 15 October 2010 |