DEATH CERTIFICATE

MARVIN MOORE

Date:    09 February 1946
Cert:    06991 
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:  Marvin 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:    08 May 1945
Age:  09 months, 01 days
Birthplace:  Mousie, Knott Co., Ky. 
Occupation:  None 
Industry or business:  (blank)
Father Name:  Kelly MOORE 
Father Birthplace:  Handshoe, Ky. 
Mother Maiden Name:   Omey TRIPLETT 
Mother Birthplace:   Pippapass 
Informant:  Omey MOORE, Mousie, Ky. 
Burial Place:   Mousie 
Date:  10 February 1946 
Signature of funeral director: Grover & Clifton Moore (not undertakers), Mousie, Ky.
Date received by local registrar:  28 March 1946
Registrar's Signature:  Mrs. Rose. B. Craft
Date of Death:  09 February 1946 
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:  Pneumonia 
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, Ky.
Date signed:  28 March 1946 
Transcribed by Debbie Tamborski, 14 December 2010