Date:   30 November 1943
Cert:   15276 
Place of Death: County: Knott  City or Town: Dry Creek (Rural)
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky    County: Knott
City or Town:  Dry Creek (Rural)
Full Name:  Jesse BATES
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Hanah CAUDILL
Age of husband or wife if alive:  (blank)
Birth date of deceased:  25 February 1856
Age: 87 years, 09 months, 05 days
Birthplace:  Bates Branch, Knott Co., Ky.
Occupation:  Farmer
Industry or business: (blank)
Father Name:  Jesse BATES
Father Birthplace:  Knott County, Kentucky
Mother Maiden Name:  Unknown
Mother Birthplace:  Kentucky
Informant:  Florence Isaacs, Dry Creek, Kentucky
Burial Place:  Dry Creek, Ky.
Date:  02 December 1943
Signature of funeral director: none
Date received by local registrar:  (blank)
Registrar's Signature:  (blank)
Date of Death:   30 November 1943
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 (blank)
Immediate cause of death: Senility Terminal 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. W. Duke, M.D., Hindman, Kentucky
Date signed:  10 March 1945
Transcribed by Debbie Tamborski, 19 October 2010