Date:    29 August 1944
Cert:    27637 
Place of Death: County: Knott   City or Town:  Rural
Street Number or Location:  Anco, Ky.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  Rural 
Full Name:  Ealy COOK 
If Veteran Name War: (blank)
Social Security No.:  405-05-9397
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Elsie COOK
Age of husband or wife if alive: (blank)
Birth date of deceased:   06 July 1919
Age:  25 years
Birthplace:  Knott Co. 
Occupation:   Coal Mine 
Industry or business: (blank)
Father Name:  E. C. COOK 
Father Birthplace:   Knott Co. 
Mother Maiden Name:  France WILLIAMS 
Mother Birthplace:  Ky. 
Informant:  Elsie COOK, Anco, Ky. 
Burial Place:  Hindman 
Date:  31 August 1944 
Signature of funeral director:  Joe Greer, Hazard, Ky.
Date received by local registrar:  28 December 1944 
Registrar's Signature: Ida Livingston Rose B. Craft Acting Reg.
Date of Death:  29 August 1944 
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:  In moving from one place of work to another, he was caught under a catepellar & crushed to death
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 29 August 1944
Where did injury occur: Industrial place
While at work: yes
Means of injury:  Calepetlar
Signature & Address: J. R. Aker, M.D., Anco, Ky.
Date signed:  28 December 1944 
Transcribed by Debbie Tamborski, 08 November 2010