Date:    19 March 1944
Cert:    14390 
Place of Death: County: Knott   City or Town: Rural - at Dema, Ky.
Street Number or Location:  own home
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Rural     Dema 
Full Name:  Baby LANE 
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:  19 March 1944 
Age:  03 hours
Birthplace:  Dema, Ky., Knott Co. 
Occupation:   (blank) 
Industry or business: (blank)
Father Name:  Oakley LANE 
Father Birthplace:  Dema, Ky., Knott Co. 
Mother Maiden Name:   Evelyn MORRIS 
Mother Birthplace:  Northern, Ky., Floyd Co. 
Informant:   Oakley LANE, Dema, Ky. 
Burial Place:  Dema, Ky. 
Date:  20 March 1944 
Signature of funeral director:  Friends, Dema, Ky.
Date received by local registrar: 29 June 1944 
Registrar's Signature:  Ida Livingston
Date of Death: 19 March 1944 
I hereby certify that I attended deceased from 19 March 1944 to 19 March 1944, that I last saw her alive on 19 March 1944, and that death occurred on the date stated above at 2 p.m.
Immediate cause of death:  Premature birth 
Duration: (blank)
Due to:  Influenza of mother
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:  Mark Dempsey, M.D., Garrett, Ky.
Date signed:  20 March 1944 
Transcribed by Debbie Tamborski, 14 November 2010