Date: 29 November 1946
Cert: 03935
Place of Death: County: Knott City or
Town: Mousie, 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: Mousie Rural
Full Name: Ronnie HAYES
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 26 November 1946
Age: 03 days
Birthplace: Mousie, Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Edd HAYES
Father Birthplace: Mousie, Knott Co., Ky.
Mother Maiden Name: Reba HUNTER
Mother Birthplace: Bolyn, Knott Co., Ky.
Informant: Edd HAYS, Mousie, Ky.
Burial Place: Mousie, Ky.
Date: 30 November 1946
Signature of funeral director: Friends, Mousie, Ky.
Date received by local registrar: 20 January 1947
Registrar's Signature: Rose B. Craft
Date of Death: 29 November 1946
I hereby certify that I attended deceased from 29 November
1946 to (blank), that I last saw him alive on (blank), and
that death occurred on the date stated above at 10 p.m.
Immediate cause of death: Prematurity
Duration: 08 months
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: C. B. Ison, M.D., Garrett, Ky.
Date signed: 17 January 1947
Transcribed by Debbie Tamborski, 07 December 2010 |