Date: 29 October 1944
Cert: 27641
Place of Death: County: Knott City or
Town: Rural
Street Number or Location: Home, Mallie, Ky.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural
give precinct: Mallie
Full Name: Isaac REYNOLDS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Nancy Ann CAMPBELL
Age of husband or wife if alive: (blank)
Birth date of deceased: 09 July 1895
Age: 49 years, 08 months, 20 days
Birthplace: Knott Co., Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: Wesley REYNOLDS
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Mary STACY
Mother Birthplace: Knott Co., Ky.
Informant: Clara ADAMS, Mallie, Ky.
Burial Place: Mallie
Date: 31 October 1944
Signature of funeral director: Maggards, Hazard, Ky.
Date received by local registrar: 15 December 1944
Registrar's Signature: Ida Livingston Rose B. Craft
Acting Reg.
Date of Death: 29 October 1944
I hereby certify that I attended deceased from 10 October 1944 to
29 October 1944, that I last saw him alive on 28 October 1944, and that death
occurred on the date stated above at 3 p.m.
Immediate cause of death: Hypertensive C. V. (illegible)
of decompensation
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: C. L. Combs, M.D., Hazard, Ky.
Date signed: 30 October 1944
Transcribed by Debbie Tamborski, 22 November 2010 |