Date: 27 July 1948
Cert: 27698
Place of Death: County: Knott City or Town: Lackey, Ky.
Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Memorial Hospital
Usual Residence of Deceased: State: Kentucky
County: Floyd
City or Town: Wayland
Full Name: Dwain THOMPSON
Date of Death: 27 July 1948
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 30 June 1948
Age: 27 days
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Lackey, Ky.
Father's Name: Woodrow THOMPSON
Mother's Maiden Name: Marie WALLEN
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Woodrow THOMPSON
Disease or condition directly leading to death: Toxemia
Interval between onset and death: (blank)
Due to: Pseudomones enteritis
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 26 July 1948 to
27 July 1948, that I last saw the deceased alive on 27 July
1948, and that death occurred at 9:10 p.m., from the causes
and on the date stated above.
Date signed: 18 November 1948
Address: Lackey, Ky.
Signature: Robert D. Eastridge, M.D.
Burial, Cremation or Removal: Burial
Date: 29 July 1948
Name of Cemetery or Crematory: Dwale Cem.
Location: Dwale, Ky.
Date received by local registrar: 18 February 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: C. P. Arnold, Prestonsburg,
Ky.
Transcribed by Debbie Tamborski, 29 December 2010 |