DEATH CERTIFICATE

RAY STANLEY

Date:    21 June 1944
Cert:    18744 
Place of Death: County: Knott  City or Town: Lackey, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky    County: Knott
City or Town:  Lackey, Ky.     Rural 
Full Name:  Ray STANLEY 
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:   25 December 1943
Age:  05 months, 26 days
Birthplace:  Lackey, Ky.  Rural 
Occupation:  None 
Industry or business: (blank)
Father Name:  Henry Gorden STANLEY 
Father Birthplace:  Wise Co., Va. 
Mother Maiden Name:  Marie BROWN 
Mother Birthplace:  Lackey, Knott Co., Ky. 
Informant:   Gorden STANLEY, Lackey, Ky. 
Burial Place:   Porter Cemetery
Date:   22 June 1944 
Signature of funeral director:  Frank Moore, Lackey, Ky.
Date received by local registrar:  28 August 1944 
Registrar's Signature:  Ida Livingston
Date of Death:  21 June 1944 
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 (blank)
Immediate cause of death:  Pneumonia
Duration: (blank)
Due to:  (blank)
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: Mark Dempsey, M.D., Garrett, Ky.
Date signed:  20 August 1944 
Transcribed by Debbie Tamborski, 24 November 2010