Date:  11 December 1951
Cert:  26631 
Place of Death: County: Knott      City or Town: Lackey
Length of stay (in this place): (illegible)
Name of Hospital or Institution:  Stumbo Memorial Hospital
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Pippapass    Street Address: (blank)
Full Name:  Eddie JACOBS
Date of Death:  11 December 1951
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth:  06 October 1948
Age:  03 years
Usual Occupation: (illegible)
Kind of Industry or business: (blank)
Birthplace:  Ky.
Father's Name:  (??lly--illegible) JACOBS
Mother's Maiden Name:  (?Emma?--illegible) MULLINS
Was deceased ever in armed forces: (blank)
Social Security No.:  None
Informant:  (??lly--illegible) JACOBS
Disease or condition directly leading to death:  Pneumonia
Interval between onset and death: 04 hours
Due to: Whooping Cough
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 10 December 1951 to 11 December 1951, that I last saw the deceased alive on 11 December 1951, and that death occurred at 12 p.m., from the causes and on the date stated above.
Date signed:  13 December 1951
Address:  Lackey, Ky.
Signature:  C. M. Aker, M.D.
Burial, Cremation or Removal:  Burial
Date:  13 December 1951
Name of Cemetery or Crematory:  (illegible) Cemetery
Location:  Pippapass, Ky.
Date received by local registrar: 04 Janaury 1952
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Charles L. Hornsby, Hindman, Ky.
Transcribed by Debbie Tamborski, 20 January 2011