Date:  12 August 1949
Cert:  19072 
Place of Death: County: Knott      City or Town:  Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky    County: Knott
City or Town: Rural     Street Address: (blank)
Full Name:  Jane SEXTON MOORE
Date of Death:  12 August 1949
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth:  25 June 1868
Age:  81 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace:  Letcher Co., Ky.
Father's Name:  Steve LOGAN
Mother's Maiden Name:  Lareena SEXTON
Was deceased ever in armed forces:  No
Social Security No.: None
Informant:  Joner MOORE
Disease or condition directly leading to death:  Pneumonia
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: Age
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  30 September 1949
Address:  Hindman, Ky.
Signature:  J. W. Duke, M.D.
Burial, Cremation or Removal:  Burial
Date:  13 August 1949
Name of Cemetery or Crematory:  Charley Logan Cem.
Location:  Bath, Knott, Ky.
Date received by local registrar: 03 October 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Friends, Bath, Ky.
Transcribed by Debbie Tamborski, 07 January 2011