DEATH CERTIFICATE

 CHARLES MABES, JR.

Date:   15 July 1941
Cert:   20354 
Place of Death: County: Knott     City or Town:  Lackey
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Floyd
City or Town:  Garrett
Full Name:  Charles MABES, Jr.
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive:  (blank)
Birth date of deceased:  11 March 1941
Age: 04 months, 11 days
Birthplace:  Garrett, Ky.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Raymond MABES
Father Birthplace:  Knox Co., Ky.
Mother Maiden Name:  Mabel PRESSLY
Mother Birthplace:  Grundy, Va.
Informant:  Raymond MABES, Garrett, Ky.
Burial Place:  Garrett
Date:  17 July 1941
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar:  15 August 1941
Registrar's Signature:  Phena Slone
Date of Death:  15 July 1941
I hereby certify that I attended deceased from 15 July 1941 to 15 July 1941, that I last saw him alive on 15 July 1941, and that death occurred on the date stated above at 11:00 p.m.
Immediate cause of death:  Bronchopneumonia
Duration: 02 days
Due to: (blank) 
Other conditions:  non specific diarrhea
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. R. Messer, M.D., Lackey
Date signed:  24 July 1941
Transcribed by Debbie Tamborski, 14 October 2010