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DEATH
CERTIFICATE
JANNIE THACKER
Date 14 April 1940
Cert: 09525
Place of Death: County: Floyd City or Town:
Martin
Name of Hospital or Institution: Beaver Valley
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Prestonsburg
Full Name: Jannie THACKER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Divorced
Husband or Wife of: Rueban THACKER
Age of husband or wife if alive: (blank)
Birth date of deceased: ? [sic]
Age: about 56 years
Birthplace: Knott County
Occupation: House wife
Industry or business: (blank)
Father Name: John (?HUGHES? illegible)
Father Birthplace: Knott County
Mother Maiden Name: Mary (?Tanney? illegible)
Mother Birthplace: Letcher County, Ky.
Informant: Birdie HOLBROOK, West Prestonsburg, Ky.
Burial Place: Prestonsburg
Date: 15 April 1940
Signature of funeral director: E. P. Arnold, Prestonsburg, Ky.
Date received by local registrar: 17 April 1940
Registrar's Signature: Mrs. Ben Norris
Date of Death: 14 April 1940
I hereby certify that I attended deceased from 12 April 1940 to
14 April 1940, that I last saw her alive on 14 April 1940, and
that death occurred on the date stated above at 10 p.m.
Immediate cause of death: Pulmonary embolism
Duration: (blank)
Due to: Left tube ovarian abscess & right tube ovarian abscess
Major findings of operations: Left (illegible)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Philip Bress, M.D., Martin, Ky.
Date signed: 17 April 1940
Transcribed by Debbie Tamborski, 10 May 2010 |
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