Date: 01 August 1944
Cert: 18748
Place of Death: County: Knott City or
Town: Brinkley, Ky.
Street Number or Location: Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Brinkley, Ky.
Street No.: Rural
Full Name: Pauline DAY
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: 04 March 1944
Age: 04 months, 27 days
Birthplace: Brinkley, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Willie DAY
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Herma GARRETT
Mother Birthplace: Brinkley, Ky.
Informant: Willie DAY, Brinkley
Burial Place: Brinkley, Ky.
Date: 02 August 1944
Signature of funeral director: Friends, Brinkley
Date received by local registrar: 02 August 1944
Registrar's Signature: Ida Livingston
Date of Death: 01 August 1944
I hereby certify that I attended deceased from 14 July 1944 to
30 July 1944, that I last saw her alive on 30 July 1944, and
that death occurred on the date stated above at 4 a.m.
Immediate cause of death: Dysentery
Duration: (blank)
Due to: Malnutrition - Emaciation
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: J. W. Duke, M.D., Hindman, Ky.
Date signed: 28 August 1944
Transcribed by Debbie Tamborski, 10 November 2010 |