Date: 10 February 1954
Cert: #05345
Place of Death: County: Knott City or Town: Lackey,
Ky., Rural
Length of stay (in this place): 02 weeks
Name of Hospital or Institution: Stumbo Hospital
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Mousie Street Address: (blank)
Full Name: Jonah SALYER
Date of Death: 10 February 1954
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 07 March 1877
Age: 76 years
Usual Occupation: Merchant
Kind of Industry or business: Retail
Birthplace: Va.
Father's Name: Wilburn SALYER
Mother's Maiden Name: Luna NICKLES
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: (Al___ illegible)
Disease or condition directly leading to death: Uremia
(illegible)
Interval between onset and death: (illegible)
Due to: Chronic (Nep___ illegible)
Other significant conditions: Hypertensive Cardiovascular
Disease
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 20 January 1954 to
10 February 1954, that I last saw the deceased alive on 10
February 1954, and
that death occurred at 3:00 a.m., from the causes and on the
date stated above.
Date signed: 19 February 1954
Address: Lackey, Ky.
Signature: Eldon Dykes, M.D.
Burial, Cremation or Removal: Burial
Date: 13 February 1954
Name of Cemetery or Crematory: Family Cemetery
Location: Leburn, Ky.
Date received by local registrar: 05 March 1954
Registrar's Signature: Rose B. Craft
Funeral director & address: Charles L. Hornsby,
Hindman, Ky.
Transcribed by Debbie Tamborski, 17 March 2011 |