DEATH CERTIFICATE

 ALEX STANKOVICH

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