Date: 21 November 1944
Cert: 13023
Place of Death: County: Knott City or
Town: Lackey (rural)
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Lackey (rural)
Full Name: Sabre THACKER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: June 1873
Age: 71 years, 05 months, -- days
Birthplace: Floyd County, Kentucky
Occupation: Housewife
Industry or business: (blank)
Father Name: Simon SMITH
Father Birthplace: Kentucky
Mother Maiden Name: Unknown
Mother Birthplace: Kentucky
Informant: J. W. DUKE, M.D., Hindman, Ky., District
Welfare Records, Hazard, Ky.
Burial Place: Jones Fork, Ky.
Date: 22 November 1944
Signature of funeral director: None
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 21 November 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Lobar Pneumonia
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: J. W. Duke, M.D., Hindman
Date signed: 16 March 1945
Transcribed by Debbie Tamborski, 25 November 2010 |