Date:    30 January 1944
Cert:    13044 
Place of Death: County: Knott   City or Town:  Lackey
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Floyd
City or Town:  Wayland 
Full Name:  Peggy Sue MOORE 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Female, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:   18 September 1943
Age:  04 months, 12 days
Birthplace:  Floyd Co., Ky. 
Occupation:  (blank) 
Industry or business: (blank)
Father Name:  Tom MOORE 
Father Birthplace:  Knott Co., Ky. 
Mother Maiden Name:  Virgie MOSELY 
Mother Birthplace:  Knott Co., Ky. 
Informant:  Tom MOORE, Wayland, Ky. 
Burial Place:  Wayland, Ky. 
Date:  31 January 1944 
Signature of funeral director:  W. J. Ryan, Martin, Ky.
Date received by local registrar: (blank) 
Registrar's Signature:  (blank) Per B. Carns
Date of Death:  30 January 1944 
I hereby certify that I attended deceased from 30 January 1944 to 30 January 1944, that I last saw him alive on 30 January 1944, and that death occurred on the date stated above at 1:30 p.m.
Immediate cause of death:  Purpura  Hemorrhages
Duration: 01 day
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: M. V. Wicker, M.D., Wayland, Ky.
Date signed:  19 March 1945 
Transcribed by Debbie Tamborski, 15 November 2010