Date: 01 April 1955
Cert: #9987
Place of Death: County: Knott City or Town:
Lackey - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Wayland - Rural Street Address: (blank)
Full Name: Nick ZANZANICO
Date of Death: 01 April 1955
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 13 August 1888
Age: 66 years
Usual Occupation: Miner
Kind of Industry or business: Mining
Birthplace: Italy
Father's Name: Pasquale ZANZANICO
Mother's Maiden Name: Archangelina ZANZANICO
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Loretta ZANZANICO
Disease or condition directly leading to death:
Myocardial Infarction
Interval between onset and death: 03 days
Due to: Arteriosclerotic heart disease
Interval between onset and death: ? (transcribed as
written)
Other significant conditions: Hypertrophic osteoarthritis
Interval between onset and death: 10 + years
Date of Operation: None
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: None
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 22 March 1955
to 01 April 1955, that I last saw the deceased alive on 01
April 1955, and that death occurred at 1:45 p.m., from the
causes and on the date stated above.
Date signed: 06 April 1955
Address: Lackey, Ky.
Signature: Joseph B. DeLozier, M.D.
Burial, Cremation or Removal: Burial
Date: 05 April 1955
Name of Cemetery or Crematory: Van Lear
Location: Van Lear, Ky.
Date received by local registrar: 09 April 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: Hall Bros., Martin, Ky.
Transcribed by Debbie Tamborski, 14 May 2011 |