Date:    01 February 1945
Cert:    03965 
Place of Death: County: Knott   City or Town: Ivis     Rural
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:  Ivis     Rural 
Full Name:  Canzalie PERKINS 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Female, White, Married
Husband or Wife of:  Will PERKINS
Age of husband or wife if alive: 58 years
Birth date of deceased:  17 February 1891 
Age:  53 years, 11 months, 14 days
Birthplace:  Knott Co., Ky. 
Occupation:  Housewife 
Industry or business:  (blank)
Father Name:  Patrick NAPIER 
Father Birthplace:  Ky. 
Mother Maiden Name:  Linda DOBSON    
Mother Birthplace:   Ky. 
Informant:  (blank), Hindman, Ky. 
Burial Place:   Perkins Creek 
Date:  02 February 1945 
Signature of funeral director:  Friends, Ivis
Date received by local registrar: 05 February 1945 
Registrar's Signature:  Ida Livingston Rose B. Craft
Date of Death:  01 February 1945 
I hereby certify that I attended deceased from 01 December 1944 to 01 February 1945, that I last saw him alive on 01 February 1945, and that death occurred on the date stated above at 9 a.m.
Immediate cause of death:  Tuberculosis of the lungs
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:  01 February 1945 
Transcribed by Debbie Tamborski, 29 November 2010