Date: 10 December 1945
Cert: 26574
Place of Death: County: Knott City or
Town: Soft Shell, Ky. Rural
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: Soft Shell Rural
Full Name: Bryant T. MOORE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Sarah E. SPARKMAN MOORE
Age of husband or wife if alive: 60 years
Birth date of deceased: 07 April 1863
Age: 82 years, 08 months, 03 days
Birthplace: Upper Ball, Knott County, Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: George MOORE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Susanna TRIPLETT
Mother Birthplace: Knott Co., Ky.
Informant: Sarah MOORE, Soft Shell
Burial Place: Upper Ball Cem.
Date: 13 December 1945
Signature of funeral director: Friend - Rich Smith, Soft
Shell, Ky.
Date received by local registrar: 18 December 1945
Registrar's Signature: Rose B. Craft
Date of Death: 10 December 1945
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 10 p.m.
Immediate cause of death: Heart Failure
Duration: (blank)
Due to: Senility
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, Hindman, Ky.
Date signed: 18 December 1945
Transcribed by Debbie Tamborski, 29 November 2010 |