DEATH CERTIFICATE

CUMINE THACKER

Date:  19 May 1940
Cert:  15189
Place of Death: County: Knott     City or Town:  Rural
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: 09 days
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  Rural
Full Name:  Cumine THACKER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of:  Isaac THACKER
Age of husband or wife if alive: (blank)
Birth date of deceased:  01 April 1874
Age: 66 years
Birthplace:  Knott Co.
Occupation:  Housekeeping
Industry or business: (blank)
Father Name:  Bill TERRY
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Armenda COMBS
Mother Birthplace:  Knott Co.
Informant:  Isaac THACKER
Burial Place:  Mousie
Date:  20 May 1940
Signature of funeral director: (blank)
Date received by local registrar:  29 June 1940
Registrar's Signature:  Macie Miller
Date of Death:  19 May 1940
I hereby certify that I attended deceased from 06 May 1940 to 19 May 1940, that I last saw h-- alive on 19 May 1940, and that death occurred on the date stated above at 4:00 a.m.
Immediate cause of death:  Cardiac
Duration: (blank)
Due to: (illegible)
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, M.D., Lackey, Ky.
Date signed:  17 June 1940
Transcribed by Debbie Tamborski, 06 October 2010