DEATH CERTIFICATE

RICHARD MOSLEY

Date:    06 November 1946
Cert:    20408 
Place of Death: County: Knott  City or Town: Garner, 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:  Garner     Rural 
Full Name:  Richard MOSLEY 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Divorced
Husband or Wife of:  Divorced
Age of husband or wife if alive: (blank)
Birth date of deceased:  Unknown 
Age:  69 years
Birthplace:  Floyd Co., McDowell
Occupation:  Farmer 
Industry or business:  (blank)
Father Name:  Nathaniel MOSLEY 
Father Birthplace: Arkansas or Oklahoma 
Mother Maiden Name:   Polly MOORE 
Mother Birthplace:   Floyd Co., Ky. 
Informant:  Clifton MOSLEY, Garner, Ky. 
Burial Place:   Garner, Ky. 
Date:  08 November 1946 
Signature of funeral director:  Friends, Garner, Ky.
Date received by local registrar: 13 September 1947 
Registrar's Signature: Rose B. Craft
Date of Death:  06 November 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 1 a.m.
Immediate cause of death: Disease of the heart 
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: M. F. Kelley, M.D., Hindman, Ky.
Date signed:  03 June 1947 
Transcribed by Debbie Tamborski, 14 December 2010