Date:   19 June 1943
Cert:   15296 
Place of Death: County: Knott     City or Town:  Mousie
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Mousie
Full Name:  Mrs. Grace PATTON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Female, White, Married
Husband or Wife of:  Alphonzo PATTON
Age of husband or wife if alive:  (blank)
Birth date of deceased:  05 December 193
Age: 39 years, 06 months, 14 days
Birthplace:  Yellow Mountain
Occupation:  Hswf.
Industry or business: (blank)
Father Name:  Green BOLEN
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Alafar GAYHEART
Mother Birthplace:  Ball Fork, Hindman, Ky.
Informant:  Mrs. Green BOLEN, Mousie, Ky.
Burial Place:   Mousie, Ky. 
Date:  20 June 1943
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar:  21 March 1945
Registrar's Signature:  (blank)  Per B. Carns
Date of Death:  19 June 1943
I hereby certify that I attended deceased from 18 June 1943 to 19 June 1943, that I last saw him alive on 18 June 1943, and that death occurred on the date stated above at 1 a.m.
Immediate cause of death:  Nephritis and uremic poisoning due to the (?Delivered?--illegible)
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:  21 March 1945
Transcribed by Debbie Tamborski, 25 October 2010