Date: 17 September 1941
Cert: 24818
Place of Death: County: Knott City or
Town: Rural
Street number or Location: Sasfrass
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural
Full Name: Claud PRATT
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 25 January 1941
Age: 01 years, 07 months
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Arthur PRATT
Father Birthplace: Perry Co.
Mother Maiden Name: Ruthie WALTERS
Mother Birthplace: Breathitt Co., Ky.
Informant: Arthur PRATT, Sasfrass, Ky.
Burial Place: Sasfrass, Ky.
Date: 18 September 1941
Signature of funeral director: Engle Und. & Hdwe. Co., Hazard,
Ky.
Date received by local registrar: 13 October 1941
Registrar's Signature: Phena Slone
Date of Death: 17 September 1941
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Acidosis with dysentery
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: J. R. Aker, M.D., Anco, Ky.
Date signed: 24 September 1941
Transcribed by Debbie Tamborski, 14 October 2010 |