Date:    07 July 1944
Cert:    18745 
Place of Death: County: Knott   City or Town:  Lackey
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  Lackey 
Full Name:  Taylor DERROSETT 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Dicie DERROSETT
Age of husband or wife if alive: 28 years
Birth date of deceased:   16 August 1914 
Age:  29 years, 10 months, 21 days
Birthplace:  Water Gap 
Occupation:  Miner 
Industry or business: (illegible)
Father Name: John DERROSETT 
Father Birthplace:  Water Gap 
Mother Maiden Name:  Annah CALHOUN 
Mother Birthplace:  Water Gap 
Informant:  John DERROSETT, Sloan
Burial Place:  Sloan 
Date:  10 July 1944 
Signature of funeral director:  E. P. Arnold, Prestonsburg
Date received by local registrar: 05 August 1944 
Registrar's Signature:  Ida Livingston
Date of Death: 07 July 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 (blank)
Immediate cause of death:  (blank)
Duration: (blank)
Due to:  Slate fall killed instantly
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 07 July 1944
Where did injury occur: In mine
While at work:  Yes
Means of injury: Slate fall
Signature & Address:  J. W. Duke, M.D., Hindman, Ky.
Date signed:  05 August 1944 
Transcribed by Debbie Tamborski, 10 November 2010