Date: 21 February 1946
Cert: 11623
Place of Death: County: Knott City or
Town: Topmost, Ky.
Street Number or Location: At home
Length of stay in hospital or community: one day
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Topmost Rural
If rural give precinct: Upper Beaver
Full Name: Mary CHILDERS
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: 21 February 1946
Age: 01 days
Birthplace: Topmost, Ky., Knott Co.
Occupation: (blank)
Industry or business: (blank)
Father Name: Dow CHILDERS
Father Birthplace: Hellier, Ky., Knott
Mother Maiden Name: Nebraska ISAAC
Mother Birthplace: Wheelwright, Ky.
Informant: Nebraska CHILDERS, Topmost
Burial Place: Topmost
Date: 22 February 1946
Signature of funeral director: Friends, Topmost
Date received by local registrar: 30 May 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 21 February 1946
I hereby certify that I attended deceased from 21 February
1946 to
21 February 1946, that I last saw him alive on 21 February
1946, and that death
occurred on the date stated above at 9 p.m.
Immediate cause of death: Premature birth
Duration: (blank)
Due to: Flue
Other conditions: Mother had Flue
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Mark Dempsey, M.D., Garrett,
Ky.
Date signed: 25 May 1946
Transcribed by Debbie Tamborski, 04 December 2010 |