DEATH CERTIFICATE

 CANTON EARL REYNOLDS

Date:   27 November 1943
Cert:   14387 
Place of Death: County: Knott  City or Town: Mallie, Ky., Rural
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:  Mallie, Ky., Rural
Full Name:  Canton Earl REYNOLDS
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:  18 March 1942
Age: 01 years, 08 months, 09 days
Birthplace:  Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name:  Cevester REYNOLDS
Father Birthplace:  Pippapass
Mother Maiden Name:  Mary MARTIN
Mother Birthplace:  Pip  (transcribed as written)
Informant:  Cevester REYNOLDS, Pippapass, Ky.
Burial Place:  Pippapass, Ky.
Date:  28 November 1943
Signature of funeral director: Isom Slone, Jr., Pippapass, Ky.
Date received by local registrar:  29 June 1943
Registrar's Signature:  Ida Livingston
Date of Death:  27 November 1943
I hereby certify that I attended deceased from 02 November 1943 to 24 November 1943, that I last saw him alive on 24 November 1943, and that death occurred on the date stated above at 2 a.m.
Immediate cause of death: Broncho Pneumonia
Duration: 06 days
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: Mark Dempsey, M.D., Garrett, Ky.
Date signed:  20 April 1944
Transcribed by Debbie Tamborski, 25 October 2010