Date: 20 May 1943
Place of Death: County: Knott City or
Town: Bath, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
City or Town: Rural
Full Name: James SEALS Sr.
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Divorced
Husband or Wife of: James SEALS Sr.
Age of husband or wife if alive: (blank)
Birth date of deceased: (blank)
Age: 85 years, 01 months, 20 days
Industry or business: (blank)
Father Name: John SEALS
Father Birthplace: Tenn.
Mother Maiden Name: Letha RAINS
Mother Birthplace: Tenn.
Informant: Millard (his x mark) SEALS, Bath, Ky.
Burial Place: Stamper Cem.
Date: 22 May 1943
Signature of funeral director: (blank), Bath
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 20 May 1943
I hereby certify that I attended deceased from 01 May 1943 to
20 May 1943, that I last saw him alive on 19 May 1943, and
that death occurred on the date stated above at 8:15 p.m.
Immediate cause of death: Disease of the prostate gland
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: M. F. Kelley, Hindman, Ky.
Date signed: 14 July 1943
Transcribed by Debbie Tamborski, 25 October 2010