Date: 09 April 1950
Cert: 14713
Place of Death: County: Knott
City or Town: Kite, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Kite, Ky. Rural Street Address:
(blank)
Full Name: Kay THORNSBURY
Date of Death: 09 April 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: unknown
Age: 63 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Kite, Ky.
Father's Name: Andrew THORNSBURY
Mother's Maiden Name: Rosea SLONE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Earl THORNSBURY
Disease/condition directly leading to death: Coronary
Occlusion
Interval between onset and death: (blank)
Due to (b): Heart Failure, Asthma
Due to (c): Hypertension
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 09 April 1950 to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 28 July 1950
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 11 April 1950
Name of Cemetery or Crematory: Family Cem.
Location: Kite, Ky.
Date received by local registrar: 28 July 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: John C. Hall, Martin,
Ky.
Transcribed by Debbie Tamborski, 17 January 2011 |