Date:    03 January 1944
Cert:    04919 
Place of Death: County: Knott Co. City or Town:  Hindman, Ky.
Name of Hospital or Institution: Big Br. of Troublesome  Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  Hindman, Ky.     Street No.:  Rural 
Full Name:  Roy DEAN 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Pearlie
Age of husband or wife if alive: (blank)
Birth date of deceased:   28 July 1898
Age:  45 years, 05 months, 06 days
Birthplace: Campton, Ky. 
Occupation:  Farmer 
Industry or business: Timber man
Father Name:  Walter DEAN 
Father Birthplace: Virginia 
Mother Maiden Name: Tennie PELFREY 
Mother Birthplace:  Wolf Co., Ky. 
Informant:  Sarah M. HAYNES, Hindman, Ky. 
Burial Place:  Cornett Cem. on Big Branch
Date:   04 January 1944 
Signature of funeral director:  (blank)
Date received by local registrar:  (blank) 
Registrar's Signature: (blank)
Date of Death:     03 January 1944
I hereby certify that I attended deceased from 01 January 1944 to 03 January 1944, that I last saw him alive on 03 January 1944, and that death occurred on the date stated above at 6 p.m.
Immediate cause of death:  Pneumonia cause by influenza
Duration: (blank)
Due to:  (blank)
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: M. F. Kelley, M.D., Hindman, Ky.
Date signed:  05 March 1944 
Transcribed by Debbie Tamborski, 12 November 2010