Date:   03 May 1943
Cert:   15290 
Place of Death: County: Knott     City or Town: Lackey
Name of Hospital or Institution: Stumbo Mem. Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Floyd
City or Town:  Lackey
Full Name:  Cora STEPHENS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of:  Lee STEPHENS
Age of husband or wife if alive:  67 years
Birth date of deceased:  17 Apri1 1876
Age: 67 years, 00 months, 16 days
Birthplace:  Kanawaha Co., W. Va.
Occupation:  Lived with son
Industry or business: (blank)
Father Name:  James PETTERY
Father Birthplace:  Carter Co., Ky.
Mother Maiden Name:  Margaret
Mother Birthplace:  (blank)
Informant:  Gayland STEPHENS, Lackey, Ky.
Burial Place:   Grayson, Ky., Carter Co. 
Date:  08 May 1943
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar:  31 March 1945
Registrar's Signature:  (blank) Per b. Carns
Date of Death:  03 May 1943
I hereby certify that I attended deceased from 16 April 1943 to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at 7:10 a.m.
Immediate cause of death:  Bronchitis
Duration: (blank)
Due to: (illegible) Pneumonia
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: A. N. Hodge, M.D.(illegible) Dr. A. Chitwood
Date signed:  31 March 1945
Transcribed by Debbie Tamborski, 27 October 2010