DEATH CERTIFICATE

 PAUL TRUMAN COOK

Date:   27 November 1943
Cert:   09966 
Place of Death: County: Knott     City or Town: Sassafras, Ky.
Street No. or Location:  Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Sassafras, Ky.       Rural
Full Name:  Paul Truman COOK
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  20 April 1937
Age: 06 years, 07 months, 07 days  
Birthplace:  Amburgey, Ky.
Occupation:  School boy
Industry or business: (blank)
Father Name:  Willie COOK
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Corna OWENS
Mother Birthplace:  (blank)
Informant:  Mamie REYNOLDS, Pinetop, Ky.
Burial Place:  Cornett Hill
Date:  28 November 1943
Signature of funeral director: Family & Neighbors, Sassafras, Ky.
Date received by local registrar: 21 February 1944
Registrar's Signature:  Ida Livingston
Date of Death:  27 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: Accidental truck on highway ran over him.  I did not see this child but all reports indicate that he was killed instantly.
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: (blank)
Where did injury occur: On highway in Sassafras
While at work: (blank)
Means of injury: (blank)
Signature & Address: (blank), Hindman, Ky.
Date signed:  (blank)
Transcribed by Debbie Tamborski, 23 October 2010