Date: 23 October 1944
Cert: 23019
Place of Death: County: Knott City or
Town: Mallie, Ky.
Street Number or Location: Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Mallie Rural
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: (blank)
Age of husband or wife if alive: 41 years
Birth date of deceased: (blank)
Age: 49 years
Birthplace: Knott
Occupation: Farmer
Industry or business: (blank)
Father Name: Wesley REYNOLDS
Father Birthplace: Ky.
Mother Maiden Name: Rhoda STACY
Mother Birthplace: Kentucky
Informant: Mrs. Ike REYNOLDS, Mallie, Ky.
Burial Place: Howard
Date: 25 October 1944
Signature of funeral director: Maggard Funeral, Hazard,
Ky.
Date received by local registrar: 31 October 1944
Registrar's Signature: Ida Livingston Rose
B. Craft Acting Registrar
Date of Death: 23 October 1944
I hereby certify that I attended deceased from 19 October 1944 to
23 October 1944, that I last saw him alive on 19 October 1944, and that death
occurred on the date stated above at 5:30 a.m.
Immediate cause of death: Disease of the Heart (Chronic
Dilatation)
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: 07 November 1944
Transcribed by Debbie Tamborski, 22 November 2010 |