Date: 10 July 1955
Cert: #16627
Place of Death: County: Knott City or Town:
Lackey, Ky. - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Memorial Hospital
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Lackey, Ky. Rural Street Address: (blank)
Full Name: John TURNER
Date of Death: 10 July 1955
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth: 07 July 1876
Age: 79 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Ky.
Father's Name: Richard TURNER
Mother's Maiden Name: Duck GIBSON
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Belve TURNER
Disease or condition directly leading to death:
Congestive heart failure
Interval between onset and death: 01 day
Due to: Arteriosclerotic heart disease
Interval between onset and death: Many years
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 27 May 1955 to
10 July 1955, that I last saw the deceased alive on 10 July
1955, and
that death occurred at 1:05 a.m., from the causes and on the
date stated above.
Date signed: 18 July 1955
Address: Lackey, Kentucky
Signature: Charles L. Roach, M.D.
Burial, Cremation or Removal: Burial
Date: 12 July 1955
Name of Cemetery or Crematory: Miles M. Gibson
Location: Raven, Ky.
Date received by local registrar: 29 July 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: Turner Funeral Home,
Martin, Ky.
Transcribed by Debbie Tamborski, 10 June 2011 |