Date: 20 June 1949
Cert: 27537
Place of Death: County: Knott
City or Town: Lackey, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Memorial Hosp.
Usual Residence of Deceased: State: Kentucky
County: Floyd
City or Town: Wayland Street Address:
(blank)
Full Name: Shanon STEWART
Date of Death: 20 June 1949
Sex, Color or Race, Marital Status: Male, White, Infant
Date of Birth: 17 June 1949
Age: 03 days
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Kentucky
Father's Name: Robert STEWART
Mother's Maiden Name: Bonnie MILLS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Robert STEWART
Disease or condition directly leading to death: Pneumonia
Interval between onset and death: (blank)
Due to (b): atelectasis
Due to (c): inspiration of mucus
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 02 February 1950
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 21 June 1949
Name of Cemetery or Crematory: Wayland Cem.
Location: Wayland, Ky.
Date received by local registrar: February (illegible)
Registrar's Signature: Rose B. Craft
Funeral director & address: G. D. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 08 January 2011 |