DEATH CERTIFICATE

PAUL EVERETT MOORE

Date:    21 July 1944
Cert:    01590 
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:  Paul Everett MOORE 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of:  Child
Age of husband or wife if alive: (blank)
Birth date of deceased:   19 July 1943
Age:  01 years, 00 months, 02 days
Birthplace:  Mousie, Ky. 
Occupation:   None 
Industry or business: (blank)
Father Name:  Kelley MOORE 
Father Birthplace:   Handshoe, Ky. 
Mother Maiden Name:  Omey TRIPLETT 
Mother Birthplace:   Pippapass, Ky. 
Informant:  Omey MOORE, Mousie 
Burial Place:  Mousie, Ky. 
Date:   22 July 1944 
Signature of funeral director:  Friends, Mousie, Ky.
Date received by local registrar: 22 January 1945 
Registrar's Signature: Ida Livingston Rose B. Craft Acting L. R.
Date of Death:  21 July 1944 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw h-- alive on 17 July 1944, and that death occurred on the date stated above at 9:15 a.m.
Immediate cause of death:  Enlarged liver & stomach trouble 
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:  22 January 1945 
Transcribed by Debbie Tamborski, 15 November 2010