Date:    15 July 1945
Cert:    15273 
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:  Kelley MOORE 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White
Husband or Wife of:  Omey TRIPLETT MOORE
Age of husband or wife if alive: 33 years
Birth date of deceased:  25 July 1907 
Age:  37 years, 11 months,20 days
Birthplace:  Handshoe, Ky. 
Occupation:  Miner 
Industry or business:  Coal mines
Father Name:  Newton MOORE 
Father Birthplace:  Knott Co., Ky. 
Mother Maiden Name:  Sarah CRAGER 
Mother Birthplace:   Handshoe, Ky. 
Informant:  Omey MOORE, Mousie, Ky. 
Burial Place:   Mousie, Ky. 
Date:   16 July 1945 
Signature of funeral director: Friends & relatives, Mousie, Ky.
Date received by local registrar:  28 July 1945 
Registrar's Signature:  Rose B. Craft
Date of Death:  15 July 1945 
I hereby certify that I attended deceased from (blank) to often, that I last saw h-- alive on 12 July 1945, and that death occurred on the date stated above at 9 p.m.
Immediate cause of death:  Pulmonary Tuberculosis
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:  28 July 1945 
Transcribed by Debbie Tamborski, 29 November 2010