Date: 08 September 1944
Cert: 01592
Place of Death: County: Knott City or
Town: Vest, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Vest Rural
Full Name: Zola DOBSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Single
Husband or Wife of: Baby
Age of husband or wife if alive: (blank)
Birth date of deceased: 04 June 1944
Age: 03 months, 04 days
Birthplace: Vest, Knott Co., Ky.
Occupation: None
Industry or business: (blank)
Father Name: Alonzo DOBSON
Father Birthplace: Vest, Knott Co., Ky.
Mother Maiden Name: Lola COMBS
Mother Birthplace: Vest, Knott Co., Ky.
Informant: Lola DOBSON, Emmalena, Ky.
Burial Place: (blank)
Date: (blank)
Signature of funeral director: (blank)
Date received by local registrar: 05 January 1945
Registrar's Signature: Ida Livingston Rose B. Craft
Acting Reg.
Date of Death: 08 September 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw her alive on 04 September 1944, and that death
occurred on the date stated above at (blank)
Immediate cause of death: Pneumonia
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: J. W. Duke, M.D., Hindman, Ky.
Date signed: 05 January 1945
Transcribed by Debbie Tamborski, 12 November 2010 |