Date: 12 September 1946
Cert: 19919
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Memorial Hosp.
Length of stay in hospital or community: 14 days
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Wayland Street No.:
833 Bottom
Full Name: Kathleen THOMPSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Willie THOMPSON
Age of husband or wife if alive: 32 years
Birth date of deceased: 03 May 1917
Age: 29 years, 04 months, 09 days
Birthplace: Wise County, Va.
Occupation: House wife
Industry or business: Domestic
Father Name: Horace CAPPS
Father Birthplace: ? (transcribed as written)
Mother Maiden Name: Laura SHOPE
Mother Birthplace: ? (transcribed as written)
Informant: Willie THOMPSON, Wayland, Ky.
Burial Place: Glencoe Cemetery, Big Stone, Va.
Date: 15 September 1946
Signature of funeral director: (illegible) Funeral Home,
Big Stone, W. Va.
Date received by local registrar: 16 September
1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 12 September 1946
I hereby certify that I attended deceased from 30 August 1946 to
12 September 1946, that I last saw h-- alive on 12 September
1946, and that death
occurred on the date stated above at 3:40 p.m.
Immediate cause of death: Pneumonia Lobar
Duration: 24 hours
Due to: Diabetic Coma
Major findings of operations: None Of
Autopsy: None
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. S. Williams, M.D., Lackey,
Ky.
Date signed: 12 September 1946
Transcribed by Debbie Tamborski, 15 December 2010 |