Date: 19 July 1944
Cert: 13041
Place of Death: County: Knott City or
Town: Kite
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: Kite
Full Name: Johnny VANCE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Sarah HONEYCUTT
Age of husband or wife if alive: 60 years
Birth date of deceased: 01 July 1882
Age: 62 years, 00 months, 18 days
Birthplace: Topmost, Ky.
Occupation: Farmer
Industry or business: Merchant
Father Name: Miles VANCE
Father Birthplace: Topmost, Ky.
Mother Maiden Name: Rildy HALL
Mother Birthplace: Kite, Ky.
Informant: Carrie HALL, Kite, Ky.
Burial Place: Kite, Ky.
Date: 20 July 1944
Signature of funeral director: Nib THORNSBERRY, Kite,
Ky.
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 19 July 1944
I hereby certify that I attended deceased from 1944 to
19 July 1944, that I last saw him alive on 19 July 1944, and that death
occurred on the date stated above at (blank)
Immediate cause of death: Chronic nephritis
Duration: (blank)
Due to: (blank)
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: W. D. Osborne, M.D., Bypro
Date signed: 12 April 1945
Transcribed by Debbie Tamborski, 26 November 2010 |