Date: 30 May 1945
Cert: 10665
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: Knott
City or Town: Lackey
Full Name: Morse Lee STEPHENS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Widowed
Husband or Wife of: Cora STEPHENS
Age of husband or wife if alive: (blank)
Birth date of deceased: 19 October 1876
Age: 68 years, 07 months, 11 days
Birthplace: Carter Co., Ky.
Occupation: none
Industry or business: (blank)
Father Name: James STEPHENS
Father Birthplace: Letcher Co., Ky.
Mother Maiden Name: Julia Ann HALL
Mother Birthplace: Carter Co., Ky.
Informant: Gaylord STEPHENS, Lackey, Ky.
Burial Place: Lackey, Ky.
Date: 02 June 1945
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 30 May 1945
Registrar's Signature: Rose B. Craft
Date of Death: 30 May 1945
I hereby certify that I attended deceased from 27 May 1945 to
30 May 1945, that I last saw him alive on 30 May 1945, and
that death occurred on the date stated above at 11:00 p.m.
Immediate cause of death: Cancer of (illegible) colon
Duration: (blank)
Due to: Intestinal obstruction
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. P. Hodge, M.D., Lackey, Ky.
Date signed: 30 May 1945
Transcribed by Debbie Tamborski, 30 November 2010 |