DEATH CERTIFICATE

FARREL DEAN LAYNE

Date:    27 April 1946
Cert:    11621 
Place of Death: County: Knott City or Town: Rural - Dema, Ky.
Name of Hospital or Institution: at own home - Dema, Ky.
Length of stay in hospital or community: 01 day
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Rural 
Full Name:  Farrel Dean LAYNE 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Single
Husband or Wife of:  None
Age of husband or wife if alive: (blank)
Birth date of deceased:  27 April 1946 
Age:  12 hours
Birthplace:  Dema, Ky., Knott Co. 
Occupation:  (blank) 
Industry or business:  (blank)
Father Name:  Oakley LAYNE 
Father Birthplace:  Dema, Ky., Knott Co. 
Mother Maiden Name:   Evelyn MORRIS 
Mother Birthplace:   Eastern, Ky., Floyd Co. 
Informant:  Mark DEMPSEY, M.D., Garrett, Ky. 
Burial Place:   Dema, Ky. 
Date:  28 April 1946 
Signature of funeral director:  None - Friends, Dema, Ky.
Date received by local registrar:  10 May 1946 
Registrar's Signature:  Mrs. Rose B. Craft
Date of Death:  27 April 1946 
I hereby certify that I attended deceased from 27 April 1946 to 27 April 1946, that I last saw him alive on 27 April 1946, and that death occurred on the date stated above at 4 p.m.
Immediate cause of death:  weakness from mother having Flue 
Duration: 04 months
Due to:  (blank)
Other conditions:  Mother had Flue
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
Date signed:  08 May 1946 
Transcribed by Debbie Tamborski, 08 December 2010