Date: 29 September 1946
Cert: 20410
Place of Death: County: Knott Co. City or
Town: Lackey
Name of Hospital or Institution: Stumbo Memo.
Length of stay in hospital or community: 03 days
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Garrett, Ky.
Full Name: Plyna L. 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: 26 March 1946
Age: 06 months, 03 days
Birthplace: Garrett, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: W. M. MOORE
Father Birthplace: Garrett, Ky.
Mother Maiden Name: Lula HICKS
Mother Birthplace: Knott Co.
Informant: W. M. MOORE, Garrett
Burial Place: Garrett
Date: 30 September 1946
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 10 December 1946
Registrar's Signature: Rose B. Craft
Date of Death: 29 September 1946
I hereby certify that I attended deceased from 26 September
1946 to
29 September 1946, that I last saw him alive on 29 September
1946, and that death occurred on the date stated above at 9:40
p.m.
Immediate cause of death: Double pneumonia Lobar type
Duration: 10 days
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. S. Williams, M.D.,
Nicholasville, Ky.
Date signed: 25 September 1947
Transcribed by Debbie Tamborski, 14 December 2010 |