Date:   16 August 1941
Cert:   22648 
Place of Death: County: Knott     City or Town: Lackey, Ky.
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: 04 hours
Usual Residence of Deceased: State: Ky.      County: Floyd
City or Town:  Garrett
Full Name:  Mary Ellen TACKETT
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of:  Britton TACKETT
Age of husband or wife if alive:  55 years
Birth date of deceased:  15 September 1881
Age: 59 years
Birthplace:  Johnson Co., Ky.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Will SPRADLIN
Father Birthplace:  Johnson Co., Ky.
Mother Maiden Name:  Rebecca HARMON
Mother Birthplace:  Magoffin Co., Ky.
Informant:  Britton TACKETT, Garrett, Ky.
Burial Place:  Denver, Ky.
Date:  18 August 1941
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar:  02 September 1941
Registrar's Signature:  Phena Slone
Date of Death:  16 August 1941
I hereby certify that I attended deceased from 16 August 1941 to 16 August 1941, that I last saw her alive on 16 August 1941, and that death occurred on the date stated above at 1:00 p.m.
Immediate cause of death: Acute dilatation of the heart 
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: W. L. Stumbo, Lackey, Ky.
Date signed:  21 August 1941
Transcribed by Debbie Tamborski, 15 October 2010