Date:   26 August 1941
Cert:   22643 
Place of Death: County: Knott     City or Town: Lackey, Ky.
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Floyd
City or Town:  Garrett, Ky.
Full Name:  Carroll Sue COOK
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:  26 August 1941
Age: 01 years (transcribed as written)
Birthplace:  Garrett, Ky.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Bill COOK
Father Birthplace:  McCrerry Co.
Mother Maiden Name: Tony HUGHES 
Mother Birthplace:  Garrett, Ky.
Informant:  Bill COOK, Garrett, Ky.
Burial Place:  Garrett
Date:  27 August 1941
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar:  02 September 1941
Registrar's Signature:  Phena Slone
Date of Death:  26 August 1941
I hereby certify that I attended deceased from 25 August 1941 to 26 August 1941, that I last saw her alive on 26 August 1941, and that death occurred on the date stated above at 12:30 a.m.
Immediate cause of death:  Broncho pneumonia
Duration: (blank) 
Due to: Measles 
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. R. Messer, M.D., Lackey, Ky.
Date signed:  29 August 1941
Transcribed by Debbie Tamborski, 12 October 2010