Date:  23 August 1949
Cert:  19075 
Place of Death: County: Lackey, Knott   City or Town: Rural Lackey
Length of stay (in this place):  04 days
Name of Hospital or Institution:  Stumbo Hospital
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:   Rural      If rural give precinct:  Brinkley
Full Name:  Kelley B. DAY
Date of Death:  23 August 1949
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth:  10 August 1949
Age:  13 days
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace:  Knott Co., Ky.
Father's Name:  Bill DAY
Mother's Maiden Name:  Herma GARRETT
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Bill DAY
Disease/condition directly leading to death: Pseudomonas Enteritis
Interval between onset and death:  (blank)
Due to:  Malnutrition
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 20 August 1949 to 23 August 1949, that I last saw the deceased alive on 23 August 1949, and that death occurred at 1 p.m., from the causes and on the date stated above.
Date signed:  01 September 1949
Address:  Lackey, Ky.
Signature:  Robert D. Eastridge, M.D.
Burial, Cremation or Removal:  Burial
Date:  24 August 1949
Name of Cemetery or Crematory:  Family Cem.
Location:  Brinkley, Ky.
Date received by local registrar: 02 September 1949
Registrar's Signature:  Rose B. Craft
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 04 January 2011