Date:    12 September 1948
Cert:    21286 
Place of Death: County: Knott   City or Town:  Lackey, Ky.
Name of Hospital or Institution: Stumbo Mem.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Kite 
Full Name:  Natheta DAVIS 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Female, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:    23 August 1948
Age:  19 days
Birthplace:   Kite, Ky.
Occupation:  (blank)
Industry or business:  (blank)
Father Name:  Arnold DAVIS 
Father Birthplace:  Hall, Ky. 
Mother Maiden Name:   Edith POTTER 
Mother Birthplace:   Wayland, Ky. 
Informant:  Arnold DAVIS, Kite, Ky.
Burial Place:   Kite, Ky. 
Date:  13 September 1948
Signature of funeral director:  W. J. Ryan, Martin, Ky.
Date received by local registrar: 15 October 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  12 September 1948 
I hereby certify that I attended deceased from 11 September 1948 to 12 September 1948, that I last saw him alive on 12 September 1948, and that death occurred on the date stated above at 4:40 a.m.
Immediate cause of death:  Peritonitis secondary to an inf. diarrhea
Duration: (blank)
Due to:  Inf. diarrhea
Major findings of operations: None     Of Autopsy:  None
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address: Robert D. Eastridge, M.D., Lackey, Ky.
Date signed:  14 October 1948 
Transcribed by Debbie Tamborski, 24 December 2010