Date: 04 December 1944
Cert: 13043
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Memorial
Length of stay in hospital or community: 06 hours
Usual Residence of Deceased: State: Kentucky
County: Floyd
City or Town: Lackey
Full Name: Boney THOMAS (John Henry)
If Veteran Name War: (blank)
Social Security No.: 404-09-2047
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Truda THOMAS
Age of husband or wife if alive: 44 years
Birth date of deceased: 10 June 1893
Age: 51 years, 05 months, 24 days
Birthplace: Mallet, Ky.
Occupation: Mining
Industry or business: (blank)
Father Name: Lee THOMAS
Father Birthplace: Mallet, Ky.
Mother Maiden Name: Siller SPARKMAN
Mother Birthplace: Mallet, Ky.
Informant: Trudy THOMAS, Lackey, Ky.
Burial Place: Lackey, Ky.
Date: 06 December 1944
Signature of funeral director: None G. D. Ryan, Martin,
Ky.
Date received by local registrar: 13 March 1945
Registrar's Signature: Rose B. Craft
Acting Registrar per B. Carns
Date of Death: 04 December 1944
I hereby certify that I attended deceased from 23 November
1944 to
04 December 1944, that I last saw him alive on 04 December
1944, and that death occurred on the date stated above at
10:30 p.m.
Immediate cause of death: Brights Disease
Duration: (blank)
Due to: (illegible) Renal Disease
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. A. Stumbo, M.D., Lackey, Ky.
Date signed: 13 March 1945
Transcribed by Debbie Tamborski, 25 November 2010 |