Date:   21 September 1942
Cert:   22714 
Place of Death: County: Knott     City or Town: Rural
Street No. or Location:  Dwarf
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Rural     If rural, give precinct:  Dwarf
Full Name: Cushie DUKE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of:  Chas DUKE
Age of husband or wife if alive: 63 years
Birth date of deceased:  31 June 1888
Age: 54 years
Birthplace:  Owsley Co., Ky.
Occupation:  House wf.
Industry or business: (blank)
Father Name:  Patrick EDWARDS
Father Birthplace:  Owsley Co.
Mother Maiden Name:  ?  (transcribed as written)
Mother Birthplace:  ? (transcribed as written)
Informant:  Chas DUKE, Dwarf, Ky.
Burial Place:  Lee Co., Ky.
Date:  23 September 1942
Signature of funeral director:  Engles, Hazard, Ky.
Date received by local registrar:  12 October 1942
Registrar's Signature:  Ida Livingston
Date of Death:  21 September 1942
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:  Pulmonary T. B.
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
Date signed:  (illegible)
Transcribed by Debbie Tamborski, 17 October 2010