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DEATH
CERTIFICATE
JOE THOMPSON
Date 15 April 1942
Cert: 08573
Place of Death: County: Fayette City or Town:
Lexington
Name of Hospital or Institution: Eastern State Hospital
Length of stay in hospital or community: 14 days
Usual Residence of Deceased: State: Kentucky County:
Knott
City or Town: Mousie
Full Name: Joe THOMPSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Grace THOMPSON
Age of husband or wife if alive: 35 years
Birth date of deceased: 13 May 1900
Age: 41 years, 11 months, 02 days
Birthplace: Somerset, Ky.
Occupation: Miner
Industry or business: (blank)
Father Name: Grant THOMPSON - deceased
Father Birthplace: Tennessee
Mother Maiden Name: Lizzie SOMMERS - deceased
Mother Birthplace: Whitley City, Ky.
Informant: Eastern State Hospital Records, Lexington, Ky.
Burial Place: Martin, Ky.
Date: 17 April 1942
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 20 April 1942
Registrar's Signature: D. A. Furlong
Date of Death: 15 April 1942
I hereby certify that I attended deceased from 01 April 1942 to
15 April 1942, that I
last saw him alive on 15 April 1942, and that death occurred on the date
stated above at 5:45 a.m.
Immediate cause of death: Hypertensive Heart Disease
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: A. C. Beckett, M.D., Eastern
State Hospital, Lexington, Ky.
Date signed: 15 April 1942
Transcribed by Debbie Tamborski, 05 February 2010 |
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