Date:   26 April 1942
Cert:   14152 
Place of Death: County: Knott     City or Town:  Tina
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Tina
Full Name:  Floyd TERRY
If Veteran Name War: 1st World War
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Naomi BAKER
Age of husband or wife if alive:  50 years
Birth date of deceased:  09 March 1893
Age: 48 years, 01 months, 15 days
Birthplace:  Knott Co., Ky.
Occupation:  Mail Carrier
Industry or business: (blank)
Father Name:  Sibo TERRY
Father Birthplace:  Perry Co., Ky.
Mother Maiden Name:  Nancy Jane FITZPATRICK
Mother Birthplace:  Knott Co., Ky.
Informant:  Bertha TERRY, Tina
Burial Place:  Tina, Ky.
Date:  27 April 1942
Signature of funeral director: Sibo TERRY, Tina, Ky.
Date received by local registrar:  17 June 1942
Registrar's Signature:  Ida Livingston
Date of Death:  26 April 1942
I hereby certify that I attended deceased from 01 January 1942 to 26 April 1942, that I last saw h-- alive on 03 March 1942, and that death occurred on the date stated above at 6 a.m.
Immediate cause of death:  Tuberculosis of the lung
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: M. F. Kelley, Hindman, Ky.
Date signed:  17 June 1942
Transcribed by Debbie Tamborski, 18 October 2010