Date: 27 June 1944
Cert: 13027
Place of Death: County: Knott City or
Town: Lackey, Ky. Rural
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: 6 or 7 hours
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Mousie Rural
Full Name: Leanner YOUNG
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 28 January 1944
Age: 04 months, 29 days
Birthplace: Mousie, Ky.
Occupation: None
Industry or business: (blank)
Father Name: Alonzo YOUNG
Father Birthplace: Elic, Ky.
Mother Maiden Name: Gracie HICKS
Mother Birthplace: Mousie, Ky.
Informant: Gracie YOUNG, Mousie, Ky.
Burial Place: Mousie, Ky.
Date: 28 June 1944
Signature of funeral director: William Hicks, Mousie,
Ky.
Date received by local registrar: 13 June 1945
Registrar's Signature: Rose B. Craft
Date of Death: 27 June 1944
I hereby certify that I attended deceased from 27 June 1944 to
27 June 1944, that I last saw her alive on 27 June 1944, and
that death occurred on the date stated above at 10 p.m.
Immediate cause of death: Dysentery Bacillary
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: A. R. Hodge, M.D., Lackey, Ky.
Date signed: 16 June 1945
Transcribed by Debbie Tamborski, 26 November 2010 |