Date: 04 January 1945
Cert: 01587
Place of Death: County: Knott City or
Town: Anco
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Knott
County: Knott
City or Town: Anco, Ky. Rural
Full Name: Leonard ZEBANICK
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 31 December 1944
Age: 04 days
Birthplace: Knott Co.
Occupation: (blank)
Industry or business: (blank)
Father Name: Tony ZEBANICK
Father Birthplace: Yugoslavia
Mother Maiden Name: Eliza JOSEPH
Mother Birthplace: Leslie Co., Ky.
Informant: Tony ZEBANICK, Anco, Ky.
Burial Place: Anco
Date: 05 January 1945
Signature of funeral director: Engles, Hazard, Ky.
Date received by local registrar: 29 January 1945
Registrar's Signature: Ida Livingston Rose B. Craft
Acting L. R.
Date of Death: 04 January 1945
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 3:00 p.m.
Immediate cause of death: Bronchial pneumonia
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: J. R. Aker, M.D., Anco, Ky.
Date signed: 27 January 1944 (transcribed as written)
Transcribed by Debbie Tamborski, 01 December 2010 |