Date:   23 April 1941
Cert:   15468
Place of Death: County: Knott     City or Town: Elmrock
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:  Elmrock
Full Name:  Mary PATRICK
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:  22 April 1941 
Age: 03 hours
Birthplace:  Elmrock, Ky.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Aster PATRICK
Father Birthplace:  Vest, Ky.
Mother Maiden Name:  Clara FITCH
Mother Birthplace:  Elmrock, Ky.
Informant:  Alafair COX, Yellow Mountain
Burial Place:  Baker
Date:  24 April 1941
Signature of funeral director: none
Date received by local registrar:  09 June 1941
Registrar's Signature:  Macie Miller
Date of Death:  23 April 1941
I hereby certify that I attended deceased from 22 April 1941 to 23 April 1941, that I last saw h-- alive on 23 April 1941, and that death occurred on the date stated above at 1:00 a.m.
Immediate cause of death:  Premature birth
Duration: (blank)
Due to: unknown
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: Alafair Cox, Yellow MD
Date signed:  02 June 1941
Transcribed by Debbie Tamborski, 14 October 2010