DEATH CERTIFICATE

GLADYS HAYS

Date:    01 July 1945
Cert:    15270 
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, Ky.     Rural 
Full Name:   Gladys HAYS 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Female, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:   09 November 1915
Age:  29 years, 07 months, 22 days
Birthplace:  Mousie, Knott Co., Ky. 
Occupation:  House wife 
Industry or business:  (blank)
Father Name:  John R. HAYS 
Father Birthplace:  Mousie, Ky. 
Mother Maiden Name:   Nancy MOORE 
Mother Birthplace:   Soft Shell, Ky. 
Informant:  Nancy HAYS, Mousie 
Burial Place:   Mousie, Ky. 
Date:  02 July 1945 
Signature of funeral director:  Friends & neighbors, Mousie, Ky.
Date received by local registrar:  31 July 1945 
Registrar's Signature:  Rose B. Craft
Date of Death:  01 July 1945 
I hereby certify that I attended deceased from 28 June 1945 to 30 June 1945, that I last saw him alive on 30 June 1945, and that death  occurred on the date stated above at 1:30 a.m.
Immediate cause of death:  Pulmonary T.B. 
Duration: 03 years
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:  31 July 1945 
Transcribed by Debbie Tamborski, 28 November 2010