Date:   12 August 1942
Cert:   01855 
Place of Death: County: Knott     City or Town: Lackey
Name of Hospital or Institution:  Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Pippapass
Full Name:  Napoleon JACOBS
If Veteran Name War: (blank)
Social Security No.: 405-07-1694
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Hulda JACOBS
Age of husband or wife if alive:  28 years
Birth date of deceased:  20 January 1900
Age: 42 years, 07 months, 22 days
Birthplace:  Knott Co., Ky.
Occupation:  Coal Miner
Industry or business: (blank)
Father Name:  Alec JACOBS
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Rachel SLOAN
Mother Birthplace:  Knott Co., Ky.
Informant:  G. J. SLOAN, Pippapass, Ky.
Burial Place:  Pippapass, KY.
Date:  14 August 1942
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar:  05 January 1943
Registrar's Signature:  Ida Livingston
Date of Death:  12 August 1942
I hereby certify that I attended deceased from 06 August 1942 to 12 August 1942, that I last saw him alive on 12 August 1942 , and that death occurred on the date stated above at 9:40 p.m.
Immediate cause of death:  Typhoid Fever
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:  C. J. Kelso, M.D.
Date signed:  (blank)
Transcribed by Debbie Tamborski, 17 October 2010