Date:  15 September 1952
Cert:  21725
Place of Death: County: Knott     City or Town: Bearsville, Ky. Rural
Length of stay (in this place): (blank)
Street address or location:  Home at Bearsville
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Bearsville     Street Address: (blank)
Full Name:  Carlos Ray PATRICK
Date of Death:  15 September 1952
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth:  29 January 1952
Age:  07 months, 14 days
Usual Occupation: None
Kind of Industry or business: None
Birthplace:  Knott Co., Ky.
Father's Name:  Bill PATRICK
Mother's Maiden Name:  Emaline RITCHIE
Was deceased ever in armed forces: No
Social Security No.:  None
Informant:  Bill PATRICK
Disease/condition directly leading to death: Diarrhea & Vomiting
Interval between onset and death:  04 days
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 10 September 1952 to 15 September 1952, that I last saw the deceased alive on 14 September 1952, and that death occurred at 1:30 a.m., from the causes and on the date stated above.
Date signed:  16 September 1952
Address:  Blue Diamond, Ky.
Signature:  L. H. Wagers, M.D.
Burial, Cremation or Removal:  Burial
Date:  16 September 1952
Name of Cemetery or Crematory:  Patrick Cemetery
Location:  Bearsville, Ky.
Date received by local registrar: 18 September 1952
Registrar's Signature:  Rose B. Craft
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 26 January 2011