Date: 29 January 1943
Cert: 04284
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: Wayland
Full Name: Alex STANKOVICH
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: (blank)
Age: approx. 89 years
Birthplace: Lithuania in Europe
Occupation: (blank)
Industry or business: (blank)
Father Name: (blank)
Father Birthplace: (blank)
Mother Maiden Name: (blank)
Mother Birthplace: (blank)
Informant: Freddy FRANKLIN, Wayland, Ky.
Burial Place: Wayland, Ky.
Date: 31 January 1943
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 01 March 1943
Registrar's Signature: Ida Livingston
Date of Death: 29 January 1943
I hereby certify that I attended deceased from 30 July 1942 to
29 January 1943, that I last saw him alive on 29 July 1943,
and that death occurred on the date stated above at 12:00
noon.
Immediate cause of death: Myocarditis Uremia
Duration: (blank)
Due to: Hypertensive - cardio Renal disease
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: J. R. Chitwood, M.D., Lackey,
Ky.
Date signed: 26 February 1943
Transcribed by Debbie Tamborski, 27 October 2010 |