Date: 15 March 1950
Cert: 05581
Place of Death: County: Knott
City or Town: Lackey
Length of stay (in this place): (blank)
Street address or location: Stumbo Hosp.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Kite Street Address:
(blank)
Full Name: Rose THORNSBURY
Date of Death: 15 March 1950
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: ? (transcribed as written)
Age: 79 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Ky.
Father's Name: H. A. SLONE
Mother's Maiden Name: Louise SLONE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Dewey THORNSBURY (son)
Disease or condition directly leading to death: Rt. &
Lt. Lobar Pneumonia
Interval between onset and death: 01 week
Due to (b): Whooping cough
Interval between onset and death: 04 weeks
Due to (c): Whooping cough & encephalitis
Interval between onset and death: 03 days
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 13 March 1950
to 15 March 1950, that I last saw the deceased alive on 15
Mach 1950, and that death occurred at 1:35 p.m., from the
causes and on the date stated above.
Date signed: 21 March 1950
Address: Lackey
Signature: John M. Byrne, M.D.
Burial, Cremation or Removal: Burial
Date: 17 March 1950
Name of Cemetery or Crematory: Thornsbury Cem.
Location: Kite, Knott, Ky.
Date received by local registrar: 22 March 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: Relatives & Friends, Kite,
Ky.
Transcribed by Debbie Tamborski, 17 January 2011 |