Date:   25 August 1941
Cert:   22649 
Place of Death: County: Knott     City or Town: Lackey, Ky.
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Floyd
City or Town:  Wayland, Ky.
Full Name:  Therose A. R. ZANZONICO
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:  23 August 1932
Age: 09 years, 02 days
Birthplace:  Wayland, Ky.
Occupation:  Scholar
Industry or business: (blank)
Father Name:  Nick ZANZONICO
Father Birthplace:  Itley
Mother Maiden Name:  Lorretta VENTI
Mother Birthplace:  Itley
Informant:  Nick ZANZONICO, Wayland, Ky.
Burial Place:   Wayland, Ky. 
Date:  26 August 1941
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar: 02 September 1941
Registrar's Signature:  Phena Slone
Date of Death:  25 August 1941
I hereby certify that I attended deceased from (blank) to 25 August 1941, that I last saw her alive on 25 August 1941, and that death occurred on the date stated above at 3:10 p.m.
Immediate cause of death:  Diabetes Mellitus
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. L. Stumbo, Lackey, Ky.
Date signed:  28 August 1941
Transcribed by Debbie Tamborski, 15 October 2010