DEATH CERTIFICATE

STEPHEN EDMOND SCOTT

Date:    02 October 1947
Cert:    28501 
Place of Death: County: Knott  City or Town: Lackey, Ky. Rural
Name of Hospital or Institution: Stumbo Mem.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Lackey, Rural 
Full Name:  Stephen Edmond SCOTT 
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 October 1947  
Age:  17 hours
Birthplace:  Lackey, Ky. 
Occupation:  (blank) 
Industry or business:  (blank)
Father Name:  Herman SCOTT 
Father Birthplace:  Floyd Co., Ky. 
Mother Maiden Name:   Christine DUFF 
Mother Birthplace:   (illegible) 
Informant:  Herman SCOTT, Garrett, Ky. 
Burial Place:   Garrett, Ky. 
Date:  03 October 1947 
Signature of funeral director:  W. J. Ryan, Martin, Ky.
Date received by local registrar:  14 January 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  02 October 1947 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at 12:00 noon.
Immediate cause of death:  Respiratory failure 
Duration: (blank)
Due to:  atelectasis, left lung
Other conditions:  none
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  C. M. Aker, M.D., Lackey, Ky.
Date signed:  12 January 1948 
Transcribed by Debbie Tamborski, 20 December 2010