Date:    28 April 1946
Cert:    13664 
Place of Death: County: Knott   City or Town:  Lackey
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Lackey 
Full Name:  Annie THORNESBURY 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status: Female, White, Single 
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  22 January 1917 
Age:  29 years, 03 months, 06 days
Birthplace:  Knott Co., Ky. 
Occupation:  (blank) 
Industry or business:  (blank)
Father Name:  Roach THORNESBURY 
Father Birthplace:  Knott Co., Ky. 
Mother Maiden Name:  Nancy BATES 
Mother Birthplace:  Knott Co., Ky. 
Informant:   Roach THORNESBURY, Kite, Ky. 
Burial Place:   Topmost, Ky. 
Date:   29 April 1946 
Signature of funeral director:  G. D. Ryan, Martin, Ky.
Date received by local registrar:  11 June 1946 
Registrar's Signature:  Mrs. Rose B. Craft
Date of Death:  28 April 1946 
I hereby certify that I attended deceased from 01 April 1945 to 28 April 1946, that I last saw him alive on 28 April 1946, and that death occurred on the date stated above at 12:05 p.m.
Immediate cause of death:  Chronic Polio Myelitis 
Duration: (blank)
Due to:  Acute appendicitis  No operation
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:  A. P. Hodge, M.D., Lackey, Ky.
Date signed:  05 June 1946 
Transcribed by Debbie Tamborski, 15 December 2010