Date:    22 August 1947
Cert:    22632 
Place of Death: County: Knott   City or Town: Mousie, 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:  Mousie     Rural 
Full Name:  Ernest MOORE 
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:   16 June 1920
Age:  27 years, 02 months, 06 days
Birthplace:  Soft Shell, Ky. 
Occupation:  Coal Mining 
Industry or business:  (blank)
Father Name:  Frank MOORE 
Father Birthplace: Soft Shell, Ky. 
Mother Maiden Name:   Margaret PATTON 
Mother Birthplace:   Soft Shell, Ky. 
Informant:   Margaret X PATTON, Mousie, Ky. 
Burial Place:   Mousie, Ky. 
Date:  23 August 1947 
Signature of funeral director:  Friends, Mousie, Ky.
Date received by local registrar: 04 October 1947 
Registrar's Signature:  Rose B. Craft
Date of Death:  22 August 1947 
I hereby certify that I attended deceased from 24 July 1947 to 22 August 1947, that I last saw him alive on 24 July 1947, and that death occurred on the date stated above at 10 p.m.
Immediate cause of death:  (blank) 
Duration: (blank)
Due to:  Septicemia as result of injury in mines
Major findings of operations: (blank)
Accident, suicide, or homicide:  Accident
Date of occurrence: about 03 years ago
Where did injury occur: In mines
While at work:  Yes
Means of injury: (blank)
Signature & Address:  J. W. Duke, M.D., Hindman
Date signed:  04 October 1947 
Transcribed by Debbie Tamborski, 18 December 2010