Date:   11 July 1943
Cert:   15287 
Place of Death: County: Knott     City or Town: Lackey
Name of Hospital or Institution: Stumbo Memorial Hosp.
Length of stay in hospital or community: 04 days
Usual Residence of Deceased: State: Kentucky   County:  Knott
City or Town:  Mousie
Full Name:  Norma Lee CASEBOLT
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:  09 February 1942
Age: 01 years, 05 months, 02 days
Birthplace:  Mousie, Ky.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Austin CASEBOLT
Father Birthplace:  Mousie, Ky.
Mother Maiden Name:  Tina SLONE
Mother Birthplace:  Raven, Ky.
Informant:  Austin CASEBOLT, Mousie, Ky.
Burial Place:  Mousie, Ky.
Date:  12 July 1943
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar:  25 March 1945
Registrar's Signature:  Per B. Carns
Date of Death:  11 July 1943
I hereby certify that I attended deceased from 07 July 1943 to 10 July 1943, that I last saw him alive on (blank), and that death occurred on the date stated above at 10:30 a.m.
Immediate cause of death:  Pneumonia Lobar
Duration: (blank)
Due to: This (illegible) by Chitwood
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: C. A. Hodge, M.D.
Date signed:  27 March 1945
Transcribed by Debbie Tamborski, 20 October 2010