Date: 02 March 1940
Cert: 10414
Place of Death: County: Knott City or Town:
Lackey, Ky.
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Mousie, Ky.
Full Name: Charles STURGILL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: Francis THOMAS
Age of husband or wife if alive: (blank)
Birth date of deceased: 15 December 1856
Age: 83 years
Birthplace: Letcher Co.
Occupation: Farmer
Industry or business: (blank)
Father Name: Mcguire STURGILL
Father Birthplace: Va.
Mother Maiden Name: Susana HUFF
Mother Birthplace: Knott Co.
Informant: Beckem STURGILL, Mousie
Burial Place: Mousie
Date: 03 March 1940
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 08 March 1940
Registrar's Signature: Macie Miller
Date of Death: 02 March 1940
I hereby certify that I attended deceased from (blank) to
25 August 1940, that I last saw him alive on (blank), and that
death occurred on the date stated above at 11 p.m.
Immediate cause of death: Bronchial pneumonia
Duration: 01 day
Due to: Paralytic stroke
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. B. Ison, M.D., Lackey, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 06 October 2010 |