Registration District No. 60           Primary Registration District No. 2031

Place of Death:       Usual Residence of Deceased:
County:  Bell     State:  KY   County:  Bell
City of town:  Pineville, KY   City or town:   Pineville, Ky
Name of hospital or Institution:  -------  Street No.  ----------
Length of stay in hospital or community -------- If foreign born, how long in USA ----

Full Name:  Matt Shelton
If veteran, name war -------        Social Security No. (left blank)
Sex:  Male    Color or Race:   W        Marital Status:  Single

Name of husband or wife:  ---------  Age of husband or wife if alive ------------
Birth date of deceased:  Nov. 5, 1905 Age:  38 yrs., 6 months, 13 days
Birthplace:  Knox County, KY
Usual occupation:  Miner   Industry or business:  Coal mines

Fatherâs Name:  J.C. Shelton  Motherâs Maiden Name:  Zora Belle Miller
Birthplace:    Knox Co., Ky  Birthplace:  Bell Co., Ky

Informant:  Geo Shelton Address:  Pineville, Ky

Burial:  Four Mile Ky       Date:  5/20, 1944
Signature of funeral director:  Arnett  & Son  Address:  Pineville, KY

Medical Certification:
Date of Death:  May 18, 1944
I hereby certify that I attended the deceased from May 18, 1944 to May 18, 1944, that I last saw him alive on May 18, 1944, and that death occurred on the date stated above at 1:14 p.m.

Immediate cause of death:  Hemorrhage and shock
Due to:  gunshot wounds of abdomen
2- liver ö perforation of bowel

Major findings: Perforation of liver
     Multiple perforations of bowel

If death was due to external causes, fill in the following:
(a)  Accident, suicide or homicide (specify)   Homicide
(b)  Date of occurrence:  May 18, Î44
(c)  Where did injury occur?  In or about home, on farm, in industrial place, in public place:      Public Place
While at work:  -------   (e)  Means of injury:  gun shot

Signature:  Edward S. Wilson, M.D.
Address:  Pineville, Ky      Date signed,  June 6, Î44
    
Date recâd by local registrar:  May 31, Î44;  Registrarâs Signature:  Helen Pearl

*****NOTE:  Anything typed in parenthesis is added by the transcriber and is not on the death certificate. ****

transcribed by Kristi Cox