Date: 13 March 1944
Cert: 13018
Place of Death: County: Knott City or
Town: Bath
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Bath
Full Name: Lowell MCINTOSH
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: 08 March 1944
Age: 05 days
Birthplace: Bath, Kentucky
Occupation: None
Industry or business: (blank)
Father Name: Willie MCINTOSH
Father Birthplace: Pinetop, Kentucky
Mother Maiden Name: Oma ADAMS
Mother Birthplace: Viper, Kentucky
Informant: Willie MCINTOSH, Bath, Kentucky
Burial Place: Bath, Ky.
Date: 13 March 1944
Signature of funeral director: None
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 13 March 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Premature Birth
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: J. W. Duke, M.D., Hindman
Date signed: 15 March 1945
Transcribed by Debbie Tamborski, 15 November 2010 |