Date 21 June 1954
Cert: # 16300
Place of Death: County: Knott
City or Town: Kite
Length of stay in hospital or community: (blank)
Name of Hospital or Institution:
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Kite
Full Name: Allice Thornsberry
Date of Death: 21 June 1954
Sex, Color or Race, Marital Status: female, white, married
Date of Birth: 22 October 1898
Age: 56
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott Co Ky
Father's Name: Sam Hall
Mother's Maiden Name: Linda Johnson
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Wib Thornsberry
Disease or condition directly leading to death: Tuberculosis
of the Lungs
Interval between onset and death: 1/2 year
Due to:
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (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 1 Jun 1954 to
27 Jun 1954, that I last saw the deceased alive on 6 pm, and
that death occurred on the date stated above at from the
causes and on the date stated above.
Date signed: 20 June 1954
Address: Wayland, Ky
Signature: M. V. Wicker, MD
Burial, Cremation or Removal: Burial
Date: 24 June 1954
Name of Cemetery or Crematory: Family Cemetery
Location: Kite KY
Date received by local registrar: 24 June 1954
Registrar's Signature: Mrs. Rose B. Craft
Funeral director and address: John Everage ~ Hindman, Ky
Transcribed by Gloria Marcum ~ 23 February 2010 |