Date: 22 January 1948
Cert: 08263
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: Garrett
Full Name: Jeneva STANLEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 07 December 1936
Age: 11 years, 01 months, 15 days
Birthplace: Garrett, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Jake STANLEY
Father Birthplace: Garrett, Ky.
Mother Maiden Name: Ellen HICKS
Mother Birthplace: Buchannan Co., Va.
Informant: Ellen STANLEY, Garrett, Ky.
Burial Place: Garrett, Ky.
Date: 23 January 1948
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 09 April 1948
Registrar's Signature: Rose B. Craft
Date of Death: 22 January 1948
I hereby certify that I attended deceased from 21 January 1948 to
22 January 1948, that I last saw him alive on 22 January 1948,
and that death occurred on the date stated above at 2 a.m.
Immediate cause of death: Encephalitis
Duration: (blank)
Due to: Measles
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. M. Aker, M.D., Lackey, Ky.
Date signed: 08 April 1948
Transcribed by Debbie Tamborski, 29 December 2010 |