Date:  16 February 1952
Cert:  05681 
Place of Death: County: Knott  City or Town: Mousie, Ky. Rural
Length of stay (in this place): 03 years
Name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Mousie  Rural    Street Address: (blank)
Full Name:  Mitchell HAYES
Date of Death:  16 February 1952
Sex, Color or Race, Marital Status: Male, White, Divorced
Date of Birth:  29 October 1910
Age:  41 years, 03 months, 17 days
Usual Occupation:  Common laborer
Kind of Industry or business: Unemployed
Birthplace:  Mousie, Knott Co., Ky.
Father's Name:  Grover HAYES
Mother's Maiden Name:  Bertha WICKER
Was deceased ever in armed forces: Yes, Between 1st and 2nd World War
Social Security No.: (blank)
Informant:  Grover HAYES
Disease or condition directly leading to death:  Drowning
Interval between onset and death:  instant
Due to:  Fell from foot bridge to creek which was 8 ft.
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  No
Accident, suicide, or homicide: Accident
Place of injury: Home of father
City or Town, County, State: Rural, Knott, Ky.
Time of Injury: 16 February 1952
Injury occurred at work: Not while at work
How did injury occur: (blank)
I hereby certify that I attended deceased from 16 February 1952 to (blank), that I last saw the deceased alive on 16 February 1952, and that death occurred at 8:00 p.m., from the causes and on the date stated above.
Date signed:  01 March 1952
Address:  Lackey, Ky.
Signature:  C. M. Aker, M.D.
Burial, Cremation or Removal:  Burial
Date:  18 February 1952
Name of Cemetery or Crematory:  Wicker Cemetery
Location:  Mousie, Knott, Ky.
Date received by local registrar: 05 March 1952
Registrar's Signature:  Rose B. Craft
Funeral director & address:  J. N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 26 January 2011