Date:    13 September 1944
Cert:    23020 
Place of Death: County: Knott   City or Town:  Mousie, Ky.  Rural
Street Number or Location:  Home
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky  County: Knott
City or Town:  Mousie, Ky.     Rural 
Full Name:  Paris COX 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Cordelia Ritchie COX
Age of husband or wife if alive: 77 years
Birth date of deceased:   04 March 1872
Age:  72 years, 06 months, 09 days
Birthplace:  Scott County, Virginia 
Occupation:  Farmer 
Industry or business: Farming
Father Name:   J. W. COX 
Father Birthplace:  Virginia 
Mother Maiden Name:  Melvina BURTON 
Mother Birthplace:  Virginia 
Informant:   Cordelia her X mark COX, Mousie, Ky. 
Burial Place:  (blank) 
Date:  15 September 1944 
Signature of funeral director:  Friends & Relatives, Mousie, Ky.
Date received by local registrar:  28 September 1944 
Registrar's Signature: Ida Livingston Rose B. Craft Acting Registrar
Date of Death:  13 September 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 2:30 p.m.
Immediate cause of death:  Heart attack - complained of pain in chest; lay down and died almost instantly 
Duration: (blank)
Due to:  (blank)
Other conditions:  Senility
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  (blank) Hindman, Ky.
Date signed:  (blank) 
Transcribed by Debbie Tamborski, 08 November 2010