DEATH CERTIFICATE

PAULA ROENE KEITH

Date:    28 December 1946
Cert:    16055 
Place of Death: County: Knott   City or Town:  Wisco, Ky.
Name of Hospital or Institution: At Home
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky  County: Perry
City or Town:  Wisco, Ky. 
Full Name:  Paula Roene KEITH 
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:  06 November 1946
Age:  02 months, 25 days
Birthplace:  Wisco, Ky. 
Occupation:  None 
Industry or business:  (blank)
Father Name:  L. KEITH 
Father Birthplace:  Jackson, Ky. 
Mother Maiden Name:   Gladis MULLINS 
Mother Birthplace:   Perry 
Informant:  (blank) 
Burial Place:   Lothair, Ky. 
Date:  29 December 1946 
Signature funeral director: Maggard & Blair F. H., Hazard, Ky.
Date received by local registrar:   30 July 1947
Registrar's Signature:  Rose B. Craft
Date of Death:  28 December 1946 
I hereby certify that I attended deceased from 20 December 1946 to 27 December 1946, that I last saw him alive on 24 December 1946, and that death occurred on the date stated above at 4 a.m.
Immediate cause of death:  Bronchial pneumonia
Duration: 10 days
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:  A. B. Pigman, M.D., Allock
Date signed:  28 December 1946 
Transcribed by Debbie Tamborski, 08 December 2010