Date:   18 October 1941
Cert:   29454 
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:  Wayland, Ky.
Full Name:  Herley Wells SIZEMORE
If Veteran Name War: (blank)
Social Security No.:  407-01-1978
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Manda SIZEMORE
Age of husband or wife if alive:  (blank)
Birth date of deceased:  30 December 1907
Age: 33 years, 09 months, 19 days
Birthplace:  Magoffin Co.
Occupation:  Miner
Industry or business: (blank)
Father Name:  Caloway SIZEMORE
Father Birthplace:  Magoffin Co.
Mother Maiden Name:  Fannie MINNIX
Mother Birthplace:  Magoffin Co.
Informant:  Alvin Hueston, Wayland, Ky.
Burial Place:  Sublet, Ky.
Date:  (blank)
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar:  (blank)
Registrar's Signature:  (blank)
Date of Death:  18 October 1941
I hereby certify that I attended deceased from 14 October 1941 to 18 October 1941, that I last saw him alive on 18 October 1941, and that death occurred on the date stated above at 2:30 a.m.
Immediate cause of death: Depressed skull fracture
Duration: 02 days
Due to: Automobile injury
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: C. R. Messer, M.D., Lackey, Ky.
Date signed:  (blank)
Transcribed by Debbie Tamborski, 15 October 2010