DEATH CERTIFICATE

JAMES DANIEL FRANCIS

Date:    26 September 1947
Cert:    24771 
Place of Death: County: Knott   City or Town: Fisty, Ky.  Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: Life
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town: Fisty     Rural 
Full Name:  James Daniel FRANCIS 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Gertie PERVIS
Age of husband or wife if alive: 36 years
Birth date of deceased:  1903 
Age:  44 years
Birthplace:  Knott Co., Ky.
Occupation:  Farmer 
Industry or business:  (blank)
Father Name:  Alexander Z. FRANCIS
Father Birthplace:  Kentucky 
Mother Maiden Name:  Sarilda SMITH 
Mother Birthplace:   Kentucky 
Informant:  Melda FUGATE, Fisty, Ky. 
Burial Place:   Home Cemetery, Clear Creek 
Date:  28 September 1947 
Signature of funeral director:  Friends, Fisty, Ky.
Date received by local registrar: 16 November 1947 
Registrar's Signature:  Rose B. Craft By L. Roth
Date of Death:  26 September 1947 
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:  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
Date signed:  (blank) 
Transcribed by Debbie Tamborski, 17 December 2010