Date:   18 January 1943
Cert:    15285
Place of Death: County: Knott     City or Town: Lackey
Name of Hospital or Institution: Stumbo Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Mousie
Full Name:  Mrs. Ida COX
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of:  Paris COX
Age of husband or wife if alive:  77 years
Birth date of deceased:  1877
Age: 66 years
Birthplace:  Floyd Co., Ky.
Occupation:  Hswf.
Industry or business: (blank)
Father Name:  CAUDILL
Father Birthplace:  Floyd Co., Ky.
Mother Maiden Name:  BROWN
Mother Birthplace:  Knott Co., Ky.
Informant:  Otis COX, Mousie, Ky.
Burial Place:  Near Portey Mines, Lackey, Knott Co., Ky.
Date:  19 January 1943
Signature of funeral director: Friends, Lackey, Ky.
Date received by local registrar:  29 March 1945
Registrar's Signature:  Mrs. R. B. Craft (illegible) Per B. Carns
Date of Death:  18 January 1943
I hereby certify that I attended deceased from 18 January 1943 to 18 January, that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death: Pneumonia Lobar
Duration: (blank)
Due to: Rheumatic (blank)
Other Conditions:  (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: A. J. Horley, M.D., Lackey, Ky. N. R. Chitwood in charge
Date signed:  24 April 1945
Transcribed by Debbie Tamborski, 17 October 2010