DEATH CERTIFICATE

CHARLES ARNOLD MULLINS

Date:    19 September 1945
Cert:    21796 
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:  Hi Hat 
Full Name:  Charles Arnold MULLINS 
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:  17 March 1945 
Age:  06 months, 02 days
Birthplace:  Floyd Co., Ky. 
Occupation:  (blank) 
Industry or business:  (blank)
Father Name:  Dewey MULLINS 
Father Birthplace:  Knott Co., Ky. 
Mother Maiden Name:   Elsie MEADE 
Mother Birthplace:   Knott Co., Ky. 
Informant:  Dewey MULLINS, Hi Hat, Ky. 
Burial Place:   Hi Hat, Ky. 
Date:  20 September 1945 
Signature of funeral director:  W. J. Ryan, Martin, Ky.
Date received by local registrar:  05 October 1945 
Registrar's Signature:  Rose B. Craft
Date of Death:  19 September 1945 
I hereby certify that I attended deceased from 09 September 1945 to 19 September 1945, that I last saw him alive on 19 September 1945, and that death occurred on the date stated above at 7:00 p.m.
Immediate cause of death:  Pneumonia
Duration: (blank)
Due to:  Meningitis
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. A. Stumbo, M.D., Lackey, Ky.
Date signed:  05 October 1945 
Transcribed by Debbie Tamborski, 29 November 2010