Date: 20 November 1944
Cert: 27653
Place of Death: County: Knott City or
Town: Carrie, Ky.
Street Number or Location: Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Carrie, Ky.
Street No.: Rural
Full Name: Andrew CORNETT
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: (blank)
Age: 59 years
Birthplace: Knott
Occupation: Farmer
Industry or business: (blank)
Father Name: Benton CORNETT
Father Birthplace: Ky.
Mother Maiden Name: Polly DAVIDSON
Mother Birthplace: Ky.
Informant: Lawrence CORNETT, Carrie, Ky.
Burial Place: Martin Cemetery
Date: 21 November 1944
Signature of funeral director: Friends, Carrie, Ky.
Date received by local registrar: 23 December 1944
Registrar's Signature: Ida Livingston Rose B. Craft
Acting Reg.
Date of Death: 20 November 1944
I hereby certify that I attended deceased from 01 June 1944 to
20 November 1944, that I last saw him alive on 01 June 1944,
and that death occurred on the date stated above at 8 p.m.
Immediate cause of death: Cancer of liver
Duration: (blank)
Due to: (blank)
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: M. F. Kelley, M.D., Hindman,
Ky.
Date signed: 23 December 1944
Transcribed by Debbie Tamborski, 08 November 2010 |