Date:    29 April 1944
Cert:    14386 
Place of Death: County: Knott   City or Town:  Topmost, Ky.
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:  Topmost, Ky. 
Full Name:  Hershel MOSLEY 
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:  16 September 1933 
Age:  10 years, 07 months, 13 days
Birthplace:  Raven, Ky. 
Occupation:   School child 
Industry or business: (blank)
Father Name:  Tom MOSLEY 
Father Birthplace:  Raven, Ky. 
Mother Maiden Name:  Nettie HALL 
Mother Birthplace:  Hall, Ky. 
Informant:   Mrs. Tom MOSLEY, Topmost, Ky. 
Burial Place:  Topmost, Ky. 
Date:  30 April 1944 
Signature of funeral director: Relatives of family, Topmost, Ky.
Date received by local registrar:  12 June 1944 
Registrar's Signature:  Ida Livingston
Date of Death:  29 April 1944 
I hereby certify that I attended deceased from 16 April 1944 to 29 April 1944, that I last saw him alive on 29 April 1944, and that death occurred on the date stated above at 9:30 p.m.
Immediate cause of death:  Rheumatic fever 
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:  Mark Dempsey, M.D., Garrett, Ky.
Date signed:  08 June 1944 
Transcribed by Debbie Tamborski, 15 November 2010